<i>Campylobacter jejuni</i> Bacteremia, Peritonitis, and Exacerbation of Chronic Pancreatitis in a Patient on CAPD: Case Report and Literature Review

Adedeji, Adekola; Subudhi, Chinari; Gokal, Ram; Hutchison, Alastair J.; Kerr, Jonathan

doi:10.1177/089686080002000638

Cited by 5 publications

(5 citation statements)

References 16 publications

(16 reference statements)

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“…The most commonly implicated species is C. jejuni (60%), followed by C. fetus (20%). Diarrhea was reported in 76% of cases of CP, which is similar to the figure reported in a previous literature review (19). Campylobacter jejuni was the most commonly involved pathogen, not only in diarrhea-positive (60%) but also in diarrhea-negative cases (66%).…”

Section: Literature Reviewsupporting

confidence: 87%

Campylobacter Peritonitis Complicating Continuous Ambulatory Peritoneal Dialysis: Report of Three Cases and Review of the Literature

et al. 2010

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Incidence of CP remains low and, regardless of the subtype, clinical outcomes are better than those seen with other gram-negative bacteria such as Pseudomonas. The presence of diarrhea at presentation and the finding of curved or spiral gram-negative bacilli in the Gram smear of peritoneal dialysis effluent should make one think of CP. The use of appropriate microbiology techniques in this situation will increase the isolation of this organism.

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Section: Literature Reviewsupporting

confidence: 87%

Campylobacter Peritonitis Complicating Continuous Ambulatory Peritoneal Dialysis: Report of Three Cases and Review of the Literature

et al. 2010

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“…Of note, about 60% of Campylobacter peritonitis was preceded by, or concomitant with, acute diarrhea in one review (33), and in all three cases in a recent publication (34). PD related Campylobacter peritonitis is most likely transmitted via bad hand hygiene or transmural bowel contamination (33,35). Bacteriemic spread is also possible, with three such cases in a series of 16 (33) and, more recently, in a single case report (35).…”

Section: Infectious Organisms Shared By Animals and Humansmentioning

confidence: 92%

“…Direct contact with animals, especially puppies, may also lead to the infection, although it has not been reported for PD peritonitis. Of note, about 60% of Campylobacter peritonitis was preceded by, or concomitant with, acute diarrhea in one review (33), and in all three cases in a recent publication (34). PD related Campylobacter peritonitis is most likely transmitted via bad hand hygiene or transmural bowel contamination (33,35).…”

Section: Infectious Organisms Shared By Animals and Humansmentioning

confidence: 93%

“…PD related Campylobacter peritonitis is most likely transmitted via bad hand hygiene or transmural bowel contamination (33,35). Bacteriemic spread is also possible, with three such cases in a series of 16 (33) and, more recently, in a single case report (35). Catheter removal was necessary in only two of 27 cases where information is available; the infections led to two deaths.…”

Section: Is a Pd Patient At Risk For Zoonotic Diseases?mentioning

confidence: 99%

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Pets-Related Peritonitis in Peritoneal Dialysis: Companion Animals or Trojan Horses?

Broughton

Verger

Goffin

2010

Seminars in Dialysis

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Infectious peritonitis is still a major concern in peritoneal dialysis (PD). Standard antibiotic regimens target common causative microorganisms such as Staphylococcus aureus and epidermidis or Pseudomonas aeruginosa. When the infection does not respond, unusual infective agents are to be considered including zoonoses-infections with an animal source. Companion animals or occupations involving animal contact favor the development of zoonoses, especially for immunocompromised patients such as those with end-stage renal disease. We reviewed the literature for all animals-related peritonitis in PD and analyzed data from our own PD unit and from the French-speaking registry for peritoneal dialyis (RDPLF) to assess both the frequency and the potential risk for PD patients in owning a pet or to working with animals. In a literature search, we identified 124 cases of PD peritonitis caused by 12 different zoonotic agents. Animals were involved in 24% of the cases. Overall mortality rate was 13.5% and Tenckhoff catheters had to be removed in 27% of the cases. The results from RDPLF analysis show that zoonotic microorganisms were responsible for 0.54% of the peritonitis episodes (51 out of a total of 9433 during a 9-year period). In our unit, zoonotic microorganisms were responsible for 0.03% of the peritonitis episodes (four out of a total of 128 during a 9-year period). Considering those results, some specific treatment recommendations can be made, but the major factor still remains prevention, by insisting on strict hygenic measures when a PD patient owns a pet.

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“…In other words, we observed a much less favorable response of Campylobacter peritonitis to cefazolin than was reported by Elshafie et al (9), whose 3 cases of Campylobacter peritonitis were all susceptible to cefazolin (9). Earlier studies have reported effective regimes including cefazolin (9), erythromycin plus tobramycin (13), clarithromycin (14), imipenem (15), meropenem (16), gentamicin plus ciprofloxacin (17), vancomycin plus norfloxacin (18), vancomycin plus netilmicin and ciprofloxacin (19), and vancomycin plus gentamicin (20). Interestingly, all 6 patients who failed to respond by day 5 in our series (Table 3) improved after administration of an oral macrolide (erythromycin or clarithromycin); 5 achieved a complete cure, and 1 patient experienced relapse of culture-negative peritonitis.…”

Section: Discussionmentioning

confidence: 99%

Campylobacter Peritonitis Complicating Peritoneal Dialysis: A Review of 12 Consecutive Cases

King-Wing¹,

Lee

Chow³

et al. 2013

Perit Dial Int

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Campylobacter jejuni Bacteremia, Peritonitis, and Exacerbation of Chronic Pancreatitis in a Patient on CAPD: Case Report and Literature Review

Cited by 5 publications

References 16 publications

Campylobacter Peritonitis Complicating Continuous Ambulatory Peritoneal Dialysis: Report of Three Cases and Review of the Literature

Campylobacter Peritonitis Complicating Continuous Ambulatory Peritoneal Dialysis: Report of Three Cases and Review of the Literature

Pets-Related Peritonitis in Peritoneal Dialysis: Companion Animals or Trojan Horses?

Campylobacter Peritonitis Complicating Peritoneal Dialysis: A Review of 12 Consecutive Cases

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