Campylobacter jejuni peritonitis complicating continuous ambulatory peritoneal dialysis

Area of Science:

• Infectious Diseases
• Nephrology
• Gastroenterology

Background:

• Continuous ambulatory peritoneal dialysis (CAPD) is a treatment for end-stage renal disease.
• Peritonitis is a known complication of CAPD, often caused by bacterial infections.
• Campylobacter jejuni is a common cause of bacterial gastroenteritis.

Observation:

• A patient undergoing CAPD developed enteritis caused by Campylobacter jejuni.
• The patient subsequently developed peritonitis, a serious complication.
• This indicates a potential pathway for C. jejuni to cause peritonitis in CAPD patients.

Findings:

• The peritonitis was confirmed to be caused by Campylobacter jejuni.
• Treatment involved oral erythromycin and intraperitoneal gentamicin.
• Successful resolution of the peritonitis was achieved with this therapeutic regimen.

Implications:

• This case highlights the risk of Campylobacter jejuni peritonitis in CAPD patients.
• Early diagnosis and appropriate antibiotic therapy are crucial for managing this complication.
• The combination of oral and intraperitoneal antibiotics may be effective in treating C. jejuni peritonitis in this population.