Peritonitis with Listeria monocytogenes in a patient on automated peritoneal dialysis

BMJ Case Rep. 2018 Jan 3:2018:bcr2017220088. doi: 10.1136/bcr-2017-220088.

Abstract

We present a case where Listeria monocytogenesserotype 1/2a was determined to be the causative agent of peritonitis in a patient on automated peritoneal dialysis. The patient, a 53-year-old Caucasian woman from the Faroe Islands was admitted to the National Hospital reporting of constant abdominal pain and a fever. Peritoneal cultures were positive for growth of L. monocytogenes. The patient was successfully treated with oral amoxicillin for 2 weeks and intraperitoneal vancomycin for 3 weeks. To date, the patient has not been readmitted due to peritonitis. The Faroese salmon was the suspected source of infection with L. monocytogenes.

Keywords: dialysis; foodborne Infections.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Anti-Bacterial Agents / administration & dosage
  • Anti-Bacterial Agents / therapeutic use*
  • Denmark / epidemiology
  • Female
  • Humans
  • Listeria monocytogenes / isolation & purification*
  • Listeriosis / complications*
  • Listeriosis / diagnosis
  • Listeriosis / drug therapy
  • Middle Aged
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
  • Peritoneum / microbiology*
  • Peritoneum / pathology
  • Peritonitis / drug therapy
  • Peritonitis / etiology
  • Peritonitis / microbiology*
  • Recurrence
  • Salmon / microbiology
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents