Enterococcus gallinarum and Chilaiditi syndrome in peritoneal dialysis

Melón, Cristina Pérez; Álvarez, Beatriz Ferreiro; Lamas, E. Iglesias; Caride, María Jesús Camba; Prol, María Paz Borrajo; Fernández, Enrique Novoa

doi:10.1016/j.nefroe.2017.03.002

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2024

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“…Only two cases of peritonitis due to E. gallinarum in patients undergoing PD have been reported in the medical literature (9,10). In the first case, ampicillin was commenced on admission and then changed to daptomycin based on effluent culture results obtained 24 h after admission.…”

Section: Discussionmentioning

confidence: 99%

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Refractory Peritonitis Related to Peritoneal Dialysis Caused by <i>Enterococcus gallinarum</i>

Yamasaki,

Ishikawa,

Suzuki

et al. 2024

Intern. Med.

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A 65-year-old woman with a history of peritoneal dialysis undergoing hemodialysis at our hospital presented with a fever after experiencing gastroenteritis symptoms. She had an implanted peritoneal dialysis catheter for draining chylous ascites. After commencing empirical treatment with meropenem, peritoneal effluent samples revealed an increased white blood cell count, and peritonitis was diagnosed. Enterococcus gallinarum was detected in blood and effluent cultures. Meropenem was changed to vancomycin based on susceptibility testing but subsequently restarted and thereafter changed to ampicillin following exacerbation of peritonitis. Finally, catheter removal led to complete recovery. E. gallinarum is vancomycin-resistant and a rare cause of peritonitis.

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Section: Discussionmentioning

confidence: 99%

“…Indeed, to our knowledge, only a few cases of peritonitis caused by E. gallinarum have been reported, most of which involved patients diagnosed with spontaneous bacterial peritonitis with hepatic cirrhosis (7,8). Furthermore, only two cases of PD-related peritonitis due to E. gallinarum have been described in the medical literature (9,10).…”

Section: Introductionmentioning

confidence: 99%