2014
DOI: 10.1136/bcr-2014-203611
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Brevibacterium caseiisolated as a cause of relapsing peritonitis

Abstract: We report a case of relapsing peritonitis in a 33-year-old woman on automated peritoneal dialysis. End-stage renal disease was secondary to systemic lupus erythematosus complicated with lupus nephritis. The organism isolated wasBrevibacterium caseithat was not readily identified, delaying appropriate management with an extended antibiotic course. Definite management ofB caseiperitonitis was peritoneal dialysis catheter removal.

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Cited by 12 publications
(11 citation statements)
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“…Higher risk of all-cause cardiovascular events in hemodialysis group aligns with contemporary literature that it is accounted for by thrombotic events, vein injury, fibrosis and stenosis associated with central vein access devices such as dialysis catheters [40][41][42]. The statistically insignificant differences in risk of all-cause infections between the 2 groups could be accounted for by the fact that both modalities are associated with dialysis devices induced infections [43][44][45][46][47]; peritoneal dialysis with peritonitis [48,49] and hemodialysis with central vein access-devices infections [41,42]. Statistical insignificant difference between the risk of lupus flares in the 2 comparison groups could be explained by the fact that SLE activity undergoes quiescence, "burn out", when a lupus nephritis patient progresses to ESRD [15,18] and during RRT as shown by Gonzalez-Pulido et al (2014) [50], ideally due to immunosuppressants administration as illustrated by Maroz et al (2013) [51].…”
Section: Discussionsupporting
confidence: 77%
“…Higher risk of all-cause cardiovascular events in hemodialysis group aligns with contemporary literature that it is accounted for by thrombotic events, vein injury, fibrosis and stenosis associated with central vein access devices such as dialysis catheters [40][41][42]. The statistically insignificant differences in risk of all-cause infections between the 2 groups could be accounted for by the fact that both modalities are associated with dialysis devices induced infections [43][44][45][46][47]; peritoneal dialysis with peritonitis [48,49] and hemodialysis with central vein access-devices infections [41,42]. Statistical insignificant difference between the risk of lupus flares in the 2 comparison groups could be explained by the fact that SLE activity undergoes quiescence, "burn out", when a lupus nephritis patient progresses to ESRD [15,18] and during RRT as shown by Gonzalez-Pulido et al (2014) [50], ideally due to immunosuppressants administration as illustrated by Maroz et al (2013) [51].…”
Section: Discussionsupporting
confidence: 77%
“…Brevibacterium sp. have been implicated in several infections such as peritonitis [1], bacteremia [4], bone infection [7], [8], pericardial infection [2], endocarditis [3], brain abscess [5]. These organisms have emerged as opportunistic pathogens in most reported cases; patients had underlying malignancy or immunodeficiency disease [10].…”
Section: Case Presentationmentioning
confidence: 99%
“… 10 Brevibacterium was first described in 1953 by Dr. Robert Breed, 11 and the first reported isolation of B. casei from clinical cases was documented by Gruner E et al, in 1993 from Switzerland. 12 Thereafter, Brevibaterium species have now been identified as a cause of peritonitis in dialysis patients, 13 17 catheter- related bloodstream infection, 18 brain abscess, 19 and endocarditis, pericarditis, osteomyelitis, endophthalmitis, discitis. Cases of peritonitis have been reported due to Brevibacterium otidis 14 and Brevibacterium iodinum 13 and two relapsing peritonitis cases with B. casei .…”
Section: Discussionmentioning
confidence: 99%