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Peritoneal Dialysis-Related Peritonitis With Acinetobacter Pittii: A Case Report.

Tushar Bajaj¹, Nader Ismail¹, Anuja Trivedi²

¹The University of Chicago Pritzker School of Medicine, Chicago, IL, USA.

Journal of Investigative Medicine High Impact Case Reports

|January 10, 2023

Summary

This study reports the first case of peritoneal dialysis (PD)-related peritonitis caused by Acinetobacter pittii. Despite antibiotic treatment, the infection was severe, leading to catheter removal and highlighting the need for strict sterile techniques.

Keywords:

nephrology other pathology

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Area of Science:

Infectious Diseases
Nephrology
Microbiology

Background:

Peritonitis is a serious complication of peritoneal dialysis (PD).
The Acinetobacter genus, particularly the Acinetobacter calcoaceticus-baumannii complex, has been implicated in rare PD-related infections.
Acinetobacter pittii has not been previously reported as a cause of PD peritonitis.

Observation:

A young male end-stage renal disease patient on PD developed severe peritonitis.
The causative agent was identified as Acinetobacter pittii.
The infecting organism demonstrated sensitivity to ceftazidime.

Findings:

Despite a 4-week course of intraperitoneal antibiotics, the patient's infection worsened.
The severe Acinetobacter pittii infection necessitated the removal of the PD catheter.
This case represents the first documented instance of PD peritonitis specifically due to Acinetobacter pittii.

Implications:

Highlights Acinetobacter pittii as a potential pathogen in PD peritonitis.
Underscores the critical importance of aseptic technique and hand hygiene in preventing PD-related infections.
Suggests that even sensitive organisms can cause severe outcomes, necessitating vigilant patient monitoring and potentially alternative treatment strategies.