Group B Streptococcus (Streptococcus agalactiae) peritonitis associated with continuous ambulatory peritoneal dialysis (CAPD)

Streptococcal peritonitis in Australian peritoneal dialysis patients: predictors, treatment and outcomes in 287 cases

“…This gender difference has previously been attributed to colonisation of streptococcal organisms in the female genital tract [4,6], but could have been potentially influenced by the inclusion of enterococci. This factor may also have explained the finding by Munoz de Bustillo et al [10] that streptococcal peritonitis is associated with increasing age, since enterococci are associated with bowel pathology that is found more commonly in older individuals.…”

Development of Acute Peritonitis after Gynecological Procedure in a Peritoneal Dialysis Patient

“…It is also known that the inflammatory processes and pathogens from the vagina and cervix may spread into the peritoneal cavity over the oviduct. Uremic patients have reduced resistance to infection, atrophic mucosa, the organ walls change in the inflammation, and the procedure cannot be done in the sterile environment [3,6]. Since beta-hemolytic group B streptococci are common inhabitants of the vagina, the most ideal prophylaxis for gynecologic procedure is administration of Ampicillin.…”

“…Additionally, peritonitis and its consequences are major reasons for shifting of patients from the PD modality to hemodialysis [1]. Peritonitis as a result of the surgical procedure has been described as a complication of surgery in genitourinary tract, gynecological and urological procedures (curettage or endometrial biopsy, conization, cystoscopic procedures) but also in the gastrointestinal tract (rectoscopy, colonoscopy with polypectomy, enema) [2][3][4][5][6][7][8]. Careful preparation of the patient may avoid compromising complications including infection, perforation, loss of the method and death.…”

Streptococcus agalactiae: A rare peritoneal infection in a continuous ambulatory peritoneal dialysis patient

“…3 Despite S. agalactiae had been reported to be very sensitive to penicillin, this drug must be avoided in patients with CKDs because of its possibility of inducing neurotoxicity, including seizures. 9 Severe leucopenia occurred probably as a complication of infection and of the combined antibiotic therapy use, particularly because of vancomycin.…”