Citrobacter freundii peritonitis and tunnel infection in a patient on continuous ambulatory peritoneal dialysis

J Med Microbiol. 2008 Jan;57(Pt 1):125-127. doi: 10.1099/jmm.0.47441-0.

Abstract

The clinical course of a patient on continuous ambulatory peritoneal dialysis who developed peritonitis and tunnel infection due to an unusual pathogen, Citrobacter freundii, is described. The patient did not respond well to antibiogram-based therapy (intravenous meropenem and intraperitoneal gentamicin) and removal of the catheter was required.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Catheterization
  • Citrobacter freundii / drug effects
  • Citrobacter freundii / isolation & purification*
  • Device Removal*
  • Enterobacteriaceae Infections / etiology*
  • Enterobacteriaceae Infections / microbiology
  • Female
  • Gentamicins / pharmacology
  • Humans
  • Meropenem
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
  • Peritonitis / drug therapy
  • Peritonitis / etiology*
  • Peritonitis / microbiology
  • Thienamycins / pharmacology

Substances

  • Anti-Bacterial Agents
  • Gentamicins
  • Thienamycins
  • Meropenem