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KMID : 0359920130320020081
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Korean Journal of Nephrology
2013 Volume.32 No. 2 p.81 ~ p.83
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Successful antibiotic treatment of Pseudomonas stutzeri-induced peritonitis without peritoneal dialysis catheter removal in continuous ambulatory peritoneal dialysis
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Park Sung-Wook
Back Ji-Hyeon
Lee Seoung-Woo
Song Joon-Ho
Shin Chun-Ho
Kim Gyung-Eun
Kim Moon-Jae
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Abstract
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Pseudomonas stutzeri is a Gram-negative, rod-shaped, motile, single polar-flagellated, soil bacterium that was first isolated from human spinal fluid and is widely distributed in the environment. It was isolated as an uncommon opportunistic pathogen from humans, and a few cases of P. stutzeri-induced peritonitis have been reported in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Catheter removal with antibiotic treatment is generally recommended because peritonitis by Pseudomonas species is commonly associated with catheter-related infection. Here, we describe the first case of P. stutzeri-induced peritonitis in an 82-year-old woman in Korea. She had received two antipseudomonal antibiotics, an aminoglycoside (isepamicin, Yuhan corporation, Seoul, Korea) and a fluoroquinolone (ciprofloxacin), and was successfully treated without removal of the CAPD catheter.
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KEYWORD
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Antibiotic treatment, Peritoneal dialysis, Peritonitis, Pseudomonas stutzeri
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