Bacteremia caused by Elizabethkingia miricola in a patient with acute pancreatitis and peritoneal dialysis

Penven, Malo; Lalieu, A; Boruchowicz, A; Paluch, Márlon; Diedrich, Tristan; Dewulf, G.; Cattöen, C.

doi:10.1016/j.medmal.2020.01.009

Cited by 5 publications

(5 citation statements)

References 9 publications

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“…134 Bacteraemia during peritonitis should raise the possibility of other intra-abdominal events. 135,136 To prevent delay in treatment, antibiotic therapy (see below) should be initiated once the appropriate dialysis effluent specimens have been collected, without waiting for the results of laboratory testing.…”

Section: Initial Presentation and Management Of Peritonitismentioning

confidence: 99%

ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment

et al. 2022

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Peritoneal dialysis (PD)-associated peritonitis is a serious complication of PD and prevention and treatment of such is important in reducing patient morbidity and mortality. The ISPD 2022 updated recommendations have revised and clarified definitions for refractory peritonitis, relapsing peritonitis, peritonitis-associated catheter removal, PD-associated haemodialysis transfer, peritonitis-associated death and peritonitis-associated hospitalisation. New peritonitis categories and outcomes including pre-PD peritonitis, enteric peritonitis, catheter-related peritonitis and medical cure are defined. The new targets recommended for overall peritonitis rate should be no more than 0.40 episodes per year at risk and the percentage of patients free of peritonitis per unit time should be targeted at >80% per year. Revised recommendations regarding management of contamination of PD systems, antibiotic prophylaxis for invasive procedures and PD training and reassessment are included. New recommendations regarding management of modifiable peritonitis risk factors like domestic pets, hypokalaemia and histamine-2 receptor antagonists are highlighted. Updated recommendations regarding empirical antibiotic selection and dosage of antibiotics and also treatment of peritonitis due to specific microorganisms are made with new recommendation regarding adjunctive oral N-acetylcysteine therapy for mitigating aminoglycoside ototoxicity. Areas for future research in prevention and treatment of PD-related peritonitis are suggested.

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Section: Initial Presentation and Management Of Peritonitismentioning

confidence: 99%

ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment

et al. 2022

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“…In this case, the initial treatment with TMP-SMX provided a bactericidal effect, as oral administration is known to have adequate concentrations in PD fluid 12. It is unclear if there was further synergy with the ceftazidime, as seen in other cases, but this was unlikely given the resistance profile 4…”

Section: Discussionmentioning

confidence: 90%

“…We report the first case of PD peritonitis due to E. miricola from direct contamination. There is only one other case reported in the literature, but this was an episode of enteric peritonitis in the context of pancreatitis 4…”

Section: Discussionmentioning

confidence: 99%

Peritoneal dialysis-associated peritonitis withElizabethkingia miricola

Kayes,

Potter,

Wong

et al. 2023

BMJ Case Rep

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“…1,2,4,5,12,13 The first case of E miricola identified in humans was in a patient with mantle cell lymphoma who was undergoing stem cell transplantation and on mechanical ventilation. 1,3,7,8,13,14,21 Other infections which have been reported include urinary tract infection, 1,11 bacteremia and sepsis, 9,21,23 pneumonia, 13,17,21,26 pulmonary abscesses, 9 intracranial infection, 8 septic arthritis, 3 and oral infections. 26…”

Section: Discussionmentioning

confidence: 99%

Septicemia caused by an emerging pathogen, Elizabethkingia miricola, in a laboratory colony of African dwarf frogs (Hymenochirus curtipes)

Yang

Mani

et al. 2023

Vet Pathol

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An outbreak of morbidity and mortality in an African dwarf frog ( Hymenochirus curtipes) colony was reported following arrival at an animal research facility. Animals were found dead on arrival or became moribund shortly thereafter, and additional animals showed clinical signs of lethargy, weight loss, and anorexia over the following 3 weeks. Externally, some affected animals presented with multifocal areas of hyperemia in the inguinal and axillary areas and on the limbs, and mottled tan discoloration along the ventral abdomen. Histologically, lesions were consistent with generalized septicemia, characterized by granulomatous meningitis, otitis media, peritonitis (coelomitis), myocarditis and pericarditis, nephritis, pneumonia, and arthritis. Gram staining identified gram-negative rod-shaped bacteria free within tissues and within macrophages. Culture results of coelomic swabs identified moderate to numerous Elizabethkingia miricola. Testing of water from tanks housing affected animals showed elevated levels of nitrites and ammonia, and the presence of Citrobacter, Aeromonas, Pseudomonas, and Staphylococcus spp. cultured from several tank biofilters. E miricola is a newly recognized and rapidly emerging opportunistic pathogen in anurans and has been reported as a cause of septicemia in humans. This report documents the first occurrence of E. miricola septicemia in African dwarf frogs and illustrates the importance of this potential pathogen in the laboratory setting for amphibian research colonies, as well as those individuals directly working with them.

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Bacteremia caused by Elizabethkingia miricola in a patient with acute pancreatitis and peritoneal dialysis

Cited by 5 publications

References 9 publications

ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment

ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment

Peritoneal dialysis-associated peritonitis withElizabethkingia miricola

Septicemia caused by an emerging pathogen, Elizabethkingia miricola, in a laboratory colony of African dwarf frogs (Hymenochirus curtipes)

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