Pseudomonas pseudoalcaligenes peritoneal dialysis-associated peritonitis.

摘要

Peritonitis is a known complication of chronic ambulatory peritoneal dialysis (CAPD). The organisms most commonly associated with CAPD infections are gram-positive cocci (skin flora) and uncommon gram-negative bacilli (dialysis fluids). Pseudomonas aeruginosa is the gram-negative bacillus that most commonly causes CAPD peritonitis (1-3), but a variety of low-virulence pseudomonads-that is, Pseudomonas species (formerly Pseudomonas and now renamed Xanthomonas, Ftavimonas, and Stenotrophomonas)-have occasionally been reported as a cause of CAPD peritonitis (4-6). Here, we present the first reported case of CAPD peritonitis attributable to P. pseudoalcaligenes successfully treated with meropenem without peritoneal dialysis (PD) catheter removal.