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KMID : 0359920070260060801
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Korean Journal of Nephrology
2007 Volume.26 No. 6 p.801 ~ p.805
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Peritonitis by Chryseobacterium indologenes and Sphingomonas paucimobilis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD)
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Yoon Jeong-Soo
Hwang Eun-Ah
Jang Mi-Hyun
Park Woo-Young
Jin Kyu-Bok
Han Seung-Yeup
Park Sung-Bae
Kim Hyun-Chul
Ryoo Nam-Hee
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Abstract
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Bacterial peritonitis is a well-recognized complication of continuous ambulatory peritoneal dialysis (CAPD) in patients with end-stage renal failure. Chryseobacterium indologenes is a non-fermentative Gram-negative bacillus that is a rare pathogen in humans and Sphinomomas paucimobilis has rarely been reported as an opportunistic human pathogen. We present a case of peritonitis due to unusual pathogens, C. indologenes and S. paucimobilis, unresponsive to the standard antibiotics therapy. A 51-year-old diabetic man undergoing CAPD for 45 days developed the first peritonitis due to C. indolegenes. Although he had received intraperitoneal antibiotics with good in vitro activity against organism, the signs of peritonitis persisted. S. paucimobilis was isolated from dialysate sample. The Tenckhoff catheter was finally removed on 19th day of hospitalization and the fever and abdominal pain subsided.
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KEYWORD
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Chryseobacterium, Sphingomonas, Peritoneal dialysis, Peritonitis
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