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First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review
Joint Authors
Karri, Kishore
Tripathi, Nishant
Koirala, Niki
Kato, Hirotaka
Singh, Tushi
Thakur, Kshitij
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-16
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Introduction.
Achromobacter species (spp.) peritonitis has seldom been identified in medical literature.
Scarce cases of Achromobacter peritonitis described previously have been correlated with peritoneal dialysis and more sparingly with spontaneous bacterial peritonitis.
Achromobacter exhibits intrinsic and acquired resistance, especially in chronic infections, to most antibiotics.
This article conducts a literature review of all previously reported Achromobacter spp.
peritonitis and describes the first reported case of Achromobacter peritonitis as a complication of percutaneous endoscopic gastrostomy (PEG) tube placement.
Discussion.
Achromobacter peritonitis as a complication of PEG-tube placement has not been previously reported.
In our patients’ case, the recently placed PEG-tube with ascitic fluid leakage was identified as the most plausible infection source.
Although a rare bacterial peritonitis pathogen, Achromobacter may be associated with wide antimicrobial resistance and unfavorable outcomes.
Conclusion.
No current guidelines provide significant guidance on treatment of PEG-tube peritonitis regardless of microbial etiology.
Infectious Disease Society of America identifies various broad-spectrum antibiotics targeting nosocomial intra-abdominal coverage; some of these antimicrobial selections (such as cefepime and metronidazole combination) may yet be inadequate for widely resistant Achromobacter spp.
Recognizably, the common antibiotics utilized for spontaneous bacterial peritonitis, i.e., third generation cephalosporins and fluoroquinolones, to which Achromobacter is resistant and variably susceptible, respectively, would be extensively insufficient.
Piperacillin/tazobactam (P/T) and carbapenem were identified to provide the most reliable coverage in vitro; clinically, 5 out of the 8 patients who received either P/T or a carbapenem, or both, eventually experienced clinical improvement.
American Psychological Association (APA)
Tripathi, Nishant& Koirala, Niki& Kato, Hirotaka& Singh, Tushi& Karri, Kishore& Thakur, Kshitij. 2020. First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review. Case Reports in Gastrointestinal Medicine،Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1147385
Modern Language Association (MLA)
Tripathi, Nishant…[et al.]. First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review. Case Reports in Gastrointestinal Medicine No. 2020 (2020), pp.1-11.
https://search.emarefa.net/detail/BIM-1147385
American Medical Association (AMA)
Tripathi, Nishant& Koirala, Niki& Kato, Hirotaka& Singh, Tushi& Karri, Kishore& Thakur, Kshitij. First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review. Case Reports in Gastrointestinal Medicine. 2020. Vol. 2020, no. 2020, pp.1-11.
https://search.emarefa.net/detail/BIM-1147385
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147385