| A Case of Delftia acidovorans Peritonitis in a Peritoneal Dialysis Patient Managed with Preserving the Dialysis Catheter |
| Eun Ju Song, M.D.1, Choon Sik Seon, M.D.1, Se Hwan Park, M.D.1, Jong Kwan Jung, M.D.1, Su Ah Sung, M.D.1, So Young Lee, M.D.1, Young-Hwan Hwang, M.D.1 and Young-Uk Cho, M.D.2 |
Eulji University, College of Medicine, Department of Internal Medicine, Divison of Nephrology1
Department of Laboratory Medicine2
Eulji General hospital, Seoul, Korea |
| 증례 :복막투석 환자에서 발생한 Delftia acidovorans 복막염 1예 |
| 송은주1, 선춘식1, 박세환1, 정종관1, 이소영1, 성수아1, 황영환1, 조영욱2 |
| 을지대학교 을지병원 신장내과1 , 진단검사의학과2 |
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| Abstract |
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Delftia acidovarans is aerobic, nonfermentative Gram-negative rod commonly found in soil and water. Generally it is nonpathogenic but it unusually can cause bacteremia in immunocompromised patients. We present a case of peritonitis due to D. acidovorans in a patient on continuous ambulatory peritoneal dialysis. A 75-year-old woman was admitted with abdominal pain and cloudy peritoneal effluent. She was empirically treated with intraperitoneal (IP) cefazolin and ceftazidime, and then IP ceftazidime and oral ciprofloxacin, but peritonitis did not improve. Seven days after admission, D. acidovorans was identified from the peritoneal effluent, which was sensitive to amikacin, ceftazidime, ciprofloxacin and imipenem. Catheter removal was considered with regard to poor response to adequate antibiotics; however, 4 days after changing to IP imipenem/cilastatin, abdominal pain, the leukocyte count of peritoneal effluent and C-reactive protein decreased. She was treated with imipenem/cilastatin for two weeks and discharged with the dialysis catheter intact. |
| Key Words:
Delftia acidovorans, Peritonitis, Peritoneal dialysis |
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