Relapsing serratia peritonitis resulting in peritoneal catheter loss
Joint Authors
Ustundag, Sedat
Kilic, Ilhan
Gungor, Kultural
Kurultak, Ilhan
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 29, Issue 6 (31 Dec. 2018), pp.1494-1497, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2018-12-31
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Abstract EN
Serratia marcescens (SM) is an opportunistic Gram-negative bacterium.
It can cause technique failure or severe sepsis despite being a rare agent causing peritonitis.
We present a case of a 40-year-old woman with end-stage renal disease secondary to chronic glomerulo-nephritis on continuous ambulatory peritoneal dialysis (PD).
She presented with severe abdominal pain and a cloudy peritoneal fluid.
The fluid was cultured according to our unit protocol.
The organism isolated was identified as SM; this was after the patient was treated for SM peritonitis one week earlier.
The response to treatment with ceftazidime was poor despite being sensitive in vitro.
The peritoneal catheter was removed due to rapid clinical deterioration.
Piperacillin-tazobactam (PIP/TAZ) monotherapy was successfully administered subsequently.
Eventually, she was transferred to hemodialysis (HD).
SM is an uncommon cause of PD-related peritonitis.
It may cause catheter loss and even death.
In our case, the infection could be controlled only after catheter removal, and she was transferred to HD.
Cephalosporins should rapidly be changed to PIP/TAZ when SM is isolated from the peritoneal fluid.
American Psychological Association (APA)
Kilic, Ilhan& Gungor, Kultural& Kurultak, Ilhan& Ustundag, Sedat. 2018. Relapsing serratia peritonitis resulting in peritoneal catheter loss. Saudi Journal of Kidney Diseases and Transplantation،Vol. 29, no. 6, pp.1494-1497.
https://search.emarefa.net/detail/BIM-896510
Modern Language Association (MLA)
Kilic, Ilhan…[et al.]. Relapsing serratia peritonitis resulting in peritoneal catheter loss. Saudi Journal of Kidney Diseases and Transplantation Vol. 29, no. 6 (Nov. / Dec. 2018), pp.1494-1497.
https://search.emarefa.net/detail/BIM-896510
American Medical Association (AMA)
Kilic, Ilhan& Gungor, Kultural& Kurultak, Ilhan& Ustundag, Sedat. Relapsing serratia peritonitis resulting in peritoneal catheter loss. Saudi Journal of Kidney Diseases and Transplantation. 2018. Vol. 29, no. 6, pp.1494-1497.
https://search.emarefa.net/detail/BIM-896510
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1497
Record ID
BIM-896510