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Pasteurella multocida peritonitis in peritoneal dialysis

F Musio1, A Tiu

  • 1Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.

Clinical Nephrology
|May 16, 1998
PubMed
Summary
This summary is machine-generated.

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Pasteurella multocida can cause rare peritonitis in peritoneal dialysis patients, often linked to cat contact and dialysis tube trauma. Infections develop rapidly, within 24 hours of contamination.

Area of Science:

  • Infectious Diseases
  • Nephrology
  • Microbiology

Background:

  • Peritonitis is a serious complication for patients undergoing peritoneal dialysis.
  • Pasteurella multocida is an opportunistic pathogen typically associated with animal bites or scratches.

Observation:

  • This report details six cases of peritonitis caused by Pasteurella multocida in continuous peritoneal dialysis patients.
  • A common factor in all cases was close contact with household cats.
  • Direct trauma to the dialysis tubing was frequently observed in conjunction with cat exposure.

Findings:

  • Pasteurella multocida peritonitis in this context exhibits a rapid onset, with significant bacterial growth occurring within 24 hours of suspected contamination.
  • The organism's presence in the peritoneal cavity suggests a route of infection facilitated by breaches in dialysis equipment integrity, potentially introduced via the percutaneous route.

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Implications:

  • Highlights the importance of considering Pasteurella multocida in peritonitis cases among peritoneal dialysis patients, especially with a history of cat exposure.
  • Emphasizes the need for vigilance regarding potential contamination routes, including trauma to dialysis tubing, to prevent rapid-onset infections.
  • Suggests enhanced patient education on zoonotic risks and meticulous catheter site care is crucial for preventing such infections.