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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
07:11

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis

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Serratia marcescens peritonitis in a patient receiving chronic ambulatory peritoneal dialysis complicated by

G A Bizette1, J S Lindberg, J E Figueroa

  • 1Dept of Internal Medicine, Ochsner Clinic, New Orleans, LA 70121.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|February 1, 1995
PubMed

Insights

Peritonitis in chronic ambulatory peritoneal dialysis (CAPD) patients can stem from Serratia marcescens. This case highlights a rare complication of osteomyelitis, likely from the same pathogen.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Peritonitis is a frequent complication in patients undergoing chronic ambulatory peritoneal dialysis (CAPD).
  • Bacterial infections are the primary cause of CAPD-associated peritonitis.
  • Serratia marcescens is a potential pathogen in peritoneal dialysis infections.

Observation:

  • A case of CAPD-associated peritonitis caused by Serratia marcescens is presented.
  • The patient developed osteomyelitis, a serious bone infection.
  • Hematogenous seeding is the suspected mechanism for the osteomyelitis development.

Findings:

  • Serratia marcescens can cause severe peritonitis in CAPD patients.
  • Disseminated infection leading to osteomyelitis is a rare but possible complication.
  • Prompt identification and treatment of the causative pathogen are crucial.

Implications:

  • This case underscores the importance of considering disseminated infection in CAPD peritonitis.
  • Awareness of rare complications like osteomyelitis is vital for clinicians managing CAPD patients.
  • Further research into the management of Serratia marcescens infections in CAPD is warranted.

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