A Case of Delftia acidovorans Peritonitis in a Peritoneal Dialysis Patient Managed with Preserving the Dialysis Catheter / 대한신장학회지
Korean Journal of Nephrology
;
: 343-345, 2011.
Article
in Korean
| WPRIM
| ID: wpr-167506
ABSTRACT
Delftia acidovarans is aerobic, nonfermentative Gram-negative rod commonly found in soil and water. Generally it is nonpathogenic but it unusually can cause bacteremia in immunocompromised patients. We present a case of peritonitis due to D. acidovorans in a patient on continuous ambulatory peritoneal dialysis. A 75-year-old woman was admitted with abdominal pain and cloudy peritoneal effluent. She was empirically treated with intraperitoneal (IP) cefazolin and ceftazidime, and then IP ceftazidime and oral ciprofloxacin, but peritonitis did not improve. Seven days after admission, D. acidovorans was identified from the peritoneal effluent, which was sensitive to amikacin, ceftazidime, ciprofloxacin and imipenem. Catheter removal was considered with regard to poor response to adequate antibiotics; however, 4 days after changing to IP imipenem/cilastatin, abdominal pain, the leukocyte count of peritoneal effluent and C-reactive protein decreased. She was treated with imipenem/cilastatin for two weeks and discharged with the dialysis catheter intact.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Soil
/
C-Reactive Protein
/
Amikacin
/
Ciprofloxacin
/
Abdominal Pain
/
Cefazolin
/
Ceftazidime
/
Imipenem
/
Peritoneal Dialysis
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2011
Type:
Article
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