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Peritonitis with Listeria monocytogenes in a patient on automated peritoneal dialysis

Hanna Bjarkhamar Poulsen1, Torkil Á Steig1, Jonas T Björkman2

  • 1Medical Department, National Hospital in the Faroe Islands, Tórshavn, Faroe Islands.

BMJ Case Reports
|January 5, 2018
PubMed

Insights

A rare case of peritonitis caused by Listeria monocytogenes serotype 1/2a in a patient undergoing automated peritoneal dialysis was successfully treated. Faroese salmon is suspected as the source of this Listeria monocytogenes infection.

Area of Science:

  • Infectious Diseases
  • Nephrology
  • Microbiology

Background:

  • Automated peritoneal dialysis (APD) patients are susceptible to infectious complications, including peritonitis.
  • Listeria monocytogenes is an uncommon but serious cause of peritonitis in this population.

Observation:

  • A 53-year-old woman on APD presented with abdominal pain and fever.
  • Peritoneal fluid cultures identified Listeria monocytogenes serotype 1/2a as the causative pathogen.

Findings:

  • The patient received a 2-week course of oral amoxicillin and a 3-week course of intraperitoneal vancomycin.
  • Successful treatment resulted in no readmission for peritonitis.

Implications:

  • This case highlights the importance of considering Listeria monocytogenes in APD-associated peritonitis.
  • Contaminated food products, such as Faroese salmon, may represent a potential source of infection.
  • Prompt and appropriate antibiotic therapy is crucial for favorable outcomes in APD peritonitis.

Keywords:
dialysisfoodborne Infections

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