A Rare Cause of Peritoneal Dialysis-Related Peritonitis: <i>Gemella Haemolysans</i>;

Ünal, Aydın; Sipahioğlu, Murat Hayri; Kavuncuoğlu, Feridun; Tokgöz, Bülent; Oymak, Oktay; Utaş, Cengiz

doi:10.1177/089686080902900417

Cited by 9 publications

(7 citation statements)

References 6 publications

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“…G. haemolysans is a rarely pathogenic, commensal Gram-positive coccus that colonizes the human respiratory and gastrointestinal tracts. Cases of invasive disease caused by this organism including endocarditis, endophthalmitis, spondylodiscitis, peritonitis and bacteraemia have been reported (Anil et al , 2007; Khan et al , 2004; Unal et al , 2009; Woo et al , 2003). To date, we are aware of only seven prior cases of meningitis due to this organism and one prior case of brain abscess (Anil et al , 2007).…”

Section: Case Reportmentioning

confidence: 99%

Meningoencephalitis due to Gemella haemolysans

Galen

Banach

Gitman

et al. 2014

Journal of Medical Microbiology

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Gemella haemolysans is an uncommon but described cause of invasive disease in humans. We report a case of meningitis due to G. haemolysans that did not grow in cerebrospinal fluid culture, demonstrating a potential role for direct 16S rRNA gene PCR and sequencing in culture-negative cerebrospinal fluid when bacterial meningitis is suspected. Case reportA 71-year-old man with hypertension, chronic obstructive pulmonary disease, pre-diabetes and chronic alcohol use presented from home to the Emergency Department with decreased responsiveness, nausea, vomiting, diarrhoea and subjective fever without headache. On presentation, his temperature was 97.8 u F, his heart rate was 150 min 21 and his blood pressure was 160/94 mmHg. He subsequently suffered a grand-mal seizure necessitating intubation and initiation of intravenous lorazepam. Post-ictal laboratory examination was noteworthy for a serum bicarbonate of 17.4 mmol l 21, lactic acid of 12 mmol l 21 and a white blood cell count of 20 700 ml 21 with 24 % bands. A computed tomography scan of the head was negative for acute stroke and he was admitted to the medical intensive care unit. In the Emergency Department, he had received ceftriaxone, vancomycin and clindamycin. During intensive care unit admission, the acid-base disturbances resolved, as did his leukocytosis. Electroencephalography did not demonstrate seizure activity. He was extubated on the second day of intensive care hospitalization and was alert and oriented but intermittently agitated and not at his baseline mental status off sedation. Lumbar puncture was performed the following day, which revealed an opening pressure of 44 cmH 2

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Section: Case Reportmentioning

confidence: 99%

Meningoencephalitis due to Gemella haemolysans

Galen

Banach

Gitman

et al. 2014

Journal of Medical Microbiology

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“…H. influenzae frequently colonizes the nasopharynx of healthy children [6] . It is a rare causative agent of peritonitis in PD patients; only eight cases (including the present patient) have been reported ( Table 1 ) [7] , [8] , [9] , [10] , [11] , [12] , [13] . Two of the eight cases were classified as Hib and six as NTHi.…”

Section: Discussionmentioning

confidence: 71%

Haemophilus influenzae peritonitis in a girl on automated peritoneal dialysis: Case report and review of the literature

Otsuka

Hasegawa

Yamada

et al. 2017

IDCases

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“…He had a history of two peritonitis episodes. The first episode was caused by Gemella haemolysans which developed approximately 4 months prior to the presentation of the current case and was treated with intraperitoneal cefazolin for 21 days (4). The second episode, caused by Staphylococcus epidermidis , developed approximately 3 weeks prior to presentation with the current case and was treated with intraperitoneal cefazolin for 14 days.…”

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confidence: 90%