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KMID : 0882420180930010065
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Korean Journal of Medicine
2018 Volume.93 No. 1 p.65 ~ p.67
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Peritoneal Dialysis-associated Peritonitis Caused by Chryseobacterium indologenes
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Choi Myung-Woo
Oh Sung-Sik
Choi Mi-Rim
Lee Jong-Hwa
Yang Hyun-Ju
Sun In-Oh
Lee Kwang-Young
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Abstract
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Chryseobacterium indologenes (C. indologenes) is a nonmotile, gram-negative bacillus that is widely distributed in nature. Generally considered nonpathogenic, C. indologenes rarely infects humans and is not normally present in the human microflora. C. indologenes infections have been observed in cases of peritoneal dialysis (PD)-associated peritonitis, although the incidence of these infections is low. Although C. indologenes is generally susceptible to trimethoprim-sulfamethoxazole, levofloxacin, ciprofloxacin, piperacillin-tazobactam, and cefepime, no guidelines have been established for the treatment of PD-associated peritonitis. Here we report the first case of PD-associated peritonitis in Korea with C. indologenes identified as the sole etiologic agent. The patient recovered after intraperitoneal antibiotic treatment without the need for Tenckhoff catheter removal.
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KEYWORD
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Chryseobacterium indologenes, Peritonitis, Peritoneal dialysis, Continuous ambulatory, Catheters, Indwelling
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