Bacillus Cereus Peritonitis in a Chronic Peritoneal Dialysis Patient

Al-Hilali, Nabieh; Mr, Nampoory; Kv, Johny; Td, Chugh

doi:10.1177/089686089701700517

Cited by 15 publications

(14 citation statements)

References 4 publications

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“…As a cause of PD-associated peritonitis, B. cereus has been recognized in seven previously reported cases accounting for eight patients, seven adults and one paediatric ( Biasoli et al ., 1984 ; Al–Wali et al ., 1990 ; Al Hilali et al ., 1997 ; Balakrishnan et al ., 1997 ; Pinedo et al ., 2002 ; Monteverde et al ., 2006 ; Ruiz et al ., 2006 ). The present case constitutes the ninth one, worldwide, and the first described in Greece.…”

Section: Discussionmentioning

confidence: 99%

“…In the reported cases shown in Table 1 , B. cereus peritonitis was cleared and the catheter was preserved in four cases. IP/intravenous (IV) vancomycin plus IP aminoglycoside (netilmicin or gentamicin) for three or 4 weeks was used in two cases ( Balakrishnan et al ., 1997 ; Al Hilali et al ., 1997 ), teicoplanin for 3 weeks was used in a third case ( Al–Wali et al ., 1990 ), whereas, IP cefalotin and IP ceftazidime plus oral ciprofloxacin for 3 weeks was administered in the fourth case ( Monteverde et al ., 2006 ). One of the aforementioned combinations, IP vancomycin plus IP gentamicin, administered for 2 weeks, has led to relapse in another case ( Pinedo et al ., 2002 ).…”

Section: Discussionmentioning

confidence: 99%

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Relapsing Bacillus cereus peritonitis in a patient treated with continuous ambulatory peritoneal dialysis

et al. 2014

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Introduction:Peritonitis is a severe complication of peritoneal dialysis (PD) due to associated morbidity and mortality. Although Bacillus cereus is mostly considered as a contaminant, its role as a causative agent in a few cases of PD peritonitis has been documented. Peritonitis due to B. cereus has been associated with high rates of catheter removal and resistance to beta-lactam antibiotics.Case presentation:A case of relapsing peritonitis caused by B. cereus in a 69-year-old man with end-stage renal disease on continuous ambulatory PD for 3 years is described. B. cereus was recovered from the patient’s peritoneal fluid and was identified by phenotypic and molecular methods. The patient was treated, according to the susceptibility test, with tobramycin for 14 days. Cultures became sterile and the patient was discharged from hospital. Three days after discharge, the patient reported recurrence of abdominal pain and a new antibiotic regimen based on the previous culture results was initiated consisting of vancomycin and ciprofloxacin. The presence of B. cereus in the peritoneal fluid was confirmed, whereas repeated cultures for the next 15 days were positive. All B. cereus isolates produced biofilm. On day 16, the PD catheter was removed and the patient was transferred to haemodialysis. A review of previously reported cases is also presented.Conclusion:Since peritonitis is the most common cause of transition to haemodialysis, isolation of B. cereus from PD patients, even though rare, should not be considered as a contaminant. An appropriate antibiotic regimen and, whenever necessary, catheter removal should be applied.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Relapsing Bacillus cereus peritonitis in a patient treated with continuous ambulatory peritoneal dialysis

et al. 2014

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“…In recent years, there has been a reduction in coagulase-negative staphylococcal peritonitis with the use of disconnect systems, but the relative incidence of gram-negative infections has increased (1). Bacillus species have been infrequently cultured from these infections, but all those six case reports have been infections with Bacillus cereus (2)(3)(4)(5)(6). We report the first published case of Bacillus circulans infection in a patient on CAPD.…”

Section: Bacillus Circulans Peritonitis In a Patient Treated With Capdmentioning

confidence: 98%

“…Also, there is a need for close liaison between clinicians and microbiologists to ensure appropriate antibiotic management of these patients as these isolates tend to be resistant to nearly all cephalosporins, which are used as first-line treatment of peritonitis in some units. Three of 6 (50%) patients reported with B. cereus peritonitis responded to antibiotics alone; the remaining 50% required removal of the catheter (2)(3)(4)(5)(6). Finally, this organism is gram variable and may over decolorize to appear gram negative on staining.…”

Section: Bacillus Circulans Peritonitis In a Patient Treated With Capdmentioning

confidence: 99%

Bacillus Circulans Peritonitis in a Patient Treated with CAPD

et al. 2004

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“…Bacillus species are not included as common pathogens for CAPD peritonitis. A total of six cases of CAPD peritonitis due to Bacillus cereus 1–5 and one case of CAPD peritonitis due to Bacillus circulans have been reported to date 6 . Only one case of Bacillus licheniformis peritonitis has been previously reported, 7 however, relapsing peritonitis by B. licheniformis has not been reported.…”

mentioning

confidence: 99%

Relapsing Bacillus licheniformis peritonitis in a continuous ambulatory peritoneal dialysis patient (Case Report)

Yun¹,

Baek²,

Jung³

et al. 2006

Nephrology

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Bacillus licheniformis is a rare pathogen in continuous ambulatory peritoneal dialysis (CAPD) peritonitis. Only one case of B. licheniformis peritonitis has been previously reported but relapsing peritonitis by same species has not been reported. A 31-year-old man undergoing CAPD was admitted to our hospital with diarrhoea and turbid peritoneal effluent. Although B. licheniformis was cultured at his previous admission, we did not consider the species as a pathogen. After the same species was cultured twice consecutively at the subsequent admission, we confirmed that B. licheniformis was a pathogen of CAPD peritonitis. After appropriate intraperitoneal antibiotics therapy, the patient improved. He is currently undergoing CAPD without catheter removal.

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Bacillus Cereus Peritonitis in a Chronic Peritoneal Dialysis Patient

Cited by 15 publications

References 4 publications

Relapsing Bacillus cereus peritonitis in a patient treated with continuous ambulatory peritoneal dialysis

Relapsing Bacillus cereus peritonitis in a patient treated with continuous ambulatory peritoneal dialysis

Bacillus Circulans Peritonitis in a Patient Treated with CAPD

Relapsing Bacillus licheniformis peritonitis in a continuous ambulatory peritoneal dialysis patient (Case Report)

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