Peritonitis caused by Listeria monocytogenes and Burkholderia cepacia in a patient on peritoneal dialysis: a case report

Peritoneal dialysis (PD)-associated peritonitis is a major cause of peritoneal dysfunction and failure. The main issue regarding the treatment is whether to remove the catheter surgically or to treat with antibiotics alone. Notably, PD-associated peritonitis is commonly caused by gram-positive cocci...

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Bibliographic Details
Published in:Frontiers in medicine 2024-07, Vol.11, p.1381262
Main Authors: Tsai, Yu-Chi, Tsai, Ming-Kai, Kung, Wen-Ching, Wang, Chien-Yao
Format: Article
Language:English
Subjects:
Burkholderia cepacia
case report
Listeria monocytogenes
Medicine
peritoneal dialysis
peritonitis
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Summary:Peritoneal dialysis (PD)-associated peritonitis is a major cause of peritoneal dysfunction and failure. The main issue regarding the treatment is whether to remove the catheter surgically or to treat with antibiotics alone. Notably, PD-associated peritonitis is commonly caused by gram-positive cocci, but rarely by and . Here, we report a patient diagnosed with PD-associated peritonitis caused by and who presented with a fever, abdominal pain, and turbid dialysate and had been receiving PD for over 20 years. After 2 weeks of antibiotic treatment, the catheter in the patient was surgically removed. Culture and pathology results revealed pathogen growth, foreign body granuloma with chronic inflammation, and inflammatory cells with fibroblast infiltration. The patient was switched to hemodialysis. She eventually recovered and was discharged. The patient presented fair health at the 3-month follow-up. In conclusion, sequential dialysate white blood cell count may help clinicians decide the course of treatment and guide the timing of surgical intervention.
ISSN:2296-858X
2296-858X
DOI:10.3389/fmed.2024.1381262