Related Experiment Video
Updated: Sep 24, 2025
A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice
Published on: July 20, 2022
Unusual Pathogen in a Patient With Peritoneal Dialysis-Related Peritonitis: A Case Report
Alya Z Aboulhosn1, Rebecca A Takele1, Paul F Laflam2
1Nephrology, Edward Via College of Osteopathic Medicine, Blacksburg, USA.
Abstract:
Peritoneal dialysis (PD) is an effective modality for renal replacement therapy. A serious complication that can arise from PD is peritonitis. Over the last few decades, there have been cases of PD-related peritonitis secondary to Pasteurella multocida infections. We present the case of a 44-year-old female who presented to the emergency department with a one-day history of abdominal pain and cloudy peritoneal fluid on evaluation. Along with her physical examination findings, laboratory results of the peritoneal fluid demonstrated elevated white blood cells and neutrophils, characteristic of peritonitis. Ultimately, the culture results were positive for P. multocida. Although P. multocida is not the most common cause of peritonitis, it is a common cause in PD patients who have domesticated animals. With two out of three people being pet owners and the increased number of people on home therapies such as PD for kidney failure, it is important to educate patients about the proper precautions and techniques to prevent peritonitis and its associated complications. Additionally, proper antibiotic management should be implemented for patients with an increased risk of infection.
Insights
Peritoneal dialysis (PD) patients can develop peritonitis from Pasteurella multocida infections, often linked to pet ownership. Early diagnosis and antibiotic management are crucial for preventing complications.
Area of Science:
- Nephrology
- Infectious Diseases
- Microbiology
Background:
- Peritoneal dialysis (PD) is a vital renal replacement therapy.
- Peritonitis is a significant complication of PD.
- Pasteurella multocida has been identified as a cause of PD-related peritonitis.
Observation:
- A case of a 44-year-old female patient on PD presented with abdominal pain and cloudy peritoneal fluid.
- Physical examination and peritoneal fluid analysis revealed signs consistent with peritonitis, including elevated white blood cells and neutrophils.
- Peritoneal fluid cultures confirmed the presence of Pasteurella multocida.
Findings:
- Pasteurella multocida, while not the most common cause, is a recognized pathogen in PD-associated peritonitis.
- The prevalence of pet ownership suggests a potential transmission route for P. multocida to PD patients.
- This case highlights the importance of considering P. multocida in PD peritonitis, especially in pet owners.
Implications:
- Increased awareness and patient education on hygiene and precautions are necessary to prevent PD-related peritonitis.
- Early recognition and appropriate antibiotic therapy are critical for managing P. multocida peritonitis in PD patients.
- Further research into the specific risks and preventative strategies related to zoonotic infections in PD patients may be warranted.
More Related Videos
06:45Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis
Published on: December 18, 2010
07:03Standardized Colon Ascendens Stent Peritonitis in Rats - a Simple, Feasible Animal Model to Induce Septic Acute Kidney Injury
Published on: February 15, 2022
Related Concept Videos
01:25Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
01:27Acute Pyelonephritis I: Introduction
01:25Peritoneal Dialysis III: Nursing Management
01:30Peritoneal Dialysis I: Introduction and Procedure
01:25Urinary Tract Infection II: Pathophysiology