Peritoneal dialysis-associated peritonitis caused by Eikenella corrodens combined with Enterococcus avium: A case report and literature review
Abstract
Rationale: Peritoneal dialysis-associated peritonitis (PDAP), caused by co-infection with Eikenella corrodens and Enterococcus avium is extremely rare. To the best of our knowledge, this is the first reported case of successful management without catheter removal.
Patient concerns: A 75-year-old male on continuous ambulatory peritoneal dialysis presented with persistent abdominal pain, abdominal distension, and cloudy peritoneal dialysate.
Diagnoses: Microbiological cultures of the peritoneal dialysate identified Eikenella corrodens and Enterococcus avium as causative pathogens.
Interventions: The initial empirical treatment with intraperitoneal cefoperazone-sulbactam and cefazolin was ineffective. Based on the antimicrobial susceptibility results, the regimen was switched to levofloxacin, which targets both organisms.
Outcomes: After a 3-week course of levofloxacin, the patient's symptoms resolved completely, the peritoneal dialysate indices normalized, and the peritoneal catheter was successfully retained.
Lessons: This case highlights that the early identification of atypical pathogens and targeted antibiotic therapy can lead to favorable outcomes in rare co-infections causing PDAP, potentially avoiding catheter removal.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- Association of lower urinary tract symptoms and OAB severity with quality of life and mental health in China, Taiwan and South Korea: results from a cross-sectional, population-based study
- Ten-Day Quadruple Therapy Comprising Low-Dose Rabeprazole, Bismuth, Amoxicillin, and Tetracycline Is an Effective and Safe First-Line Treatment for Helicobacter pylori Infection in a Population with High Antibiotic Resistance: a Prospective, Multicenter, Randomized, Parallel-Controlled Clinical Trial in China
- The Role of the NLR and PLR in Urinary Tract Infection
- Threat of Antimicrobial Resistance among Pilgrims with Infectious Diseases during Hajj: Lessons Learnt from COVID-19 Pandemic
- Leclercia adecarboxylata urinary tract infection in a patient with bladder cancer and recurrent hematuria
- A Case Series of Staphylococcus lugdunensis Infection in Cancer Patients at an Academic Cancer Institute in the United States
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.