A rare agent of continuous ambulatory peritoneal dialysis peritonitis: Rhizobium Radiobacter

Saudi J Kidney Dis Transpl. 2019 Jan-Feb;30(1):250-253.

Abstract

Peritonitis is a common clinical problem in patients treated by continuous ambulatory peritoneal dialysis (CAPD). The most common microbiological factors causing peritonitis are Gram-positive (especially Staphylococcus spp.). Peritonitis with Rhizobium radiobacter (Agrobacterium radiobacter) is a rare infection in CAPD patients. Peritonitis due to R. radiobacter has been reported in our patient's dialysate culture who underwent CAPD for three years. We report the case of a 26-year-old female PD patient who had CAPD peritonitis due to R. radiobacter and successfully treated with intraperitoneal vancomycin and oral ciprofloxacin without relapses or removing the PD catheter.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Agrobacterium tumefaciens*
  • Anti-Bacterial Agents / therapeutic use
  • Ascitic Fluid / cytology
  • Ascitic Fluid / microbiology
  • Ciprofloxacin / therapeutic use
  • Female
  • Gram-Negative Bacterial Infections* / diagnosis
  • Gram-Negative Bacterial Infections* / drug therapy
  • Gram-Negative Bacterial Infections* / etiology
  • Gram-Negative Bacterial Infections* / microbiology
  • Humans
  • Kidney Failure, Chronic / therapy
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
  • Peritonitis* / diagnosis
  • Peritonitis* / drug therapy
  • Peritonitis* / etiology
  • Peritonitis* / microbiology
  • Vancomycin / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Ciprofloxacin
  • Vancomycin