<i>Chryseobacterium indologenes</i>peritonitis in peritoneal dialysis

Afshar, Mehdi; Nobakht, Ehsan; Lew, Susie Q.

doi:10.1136/bcr-2013-009410

Cited by 20 publications

(25 citation statements)

References 24 publications

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“…It is prevalent on wet or humid surfaces in hospitals and also in catheters containing fluids, such as feeding tubes, central venous catheters and tracheostomy tubes 15. The presence of contaminated medical devices in institutionalised and or immunocompromised patients, such as patients with diabetes mellitus, malignancies and neutropaenia and prolonged treatment with antibiotics, may result in serious infections 4 7 16–18. More than half of the reported cases have been among hospitalised, immunocompromised patients with mechanical ventilation or indwelling catheters 5 7 10 15.…”

Section: Discussionmentioning

confidence: 99%

“…The most common clinical presentations of C. indologenes infection are pneumonia, bacteraemia, cellulitis, surgical wound infections, urinary tract infections, ocular infections, meningitis due to central nervous system shunt, peritonitis due to peritoneal catheter dialysis, intra-abdominal and other catheter-related infections 4 6–8 25…”

Section: Discussionmentioning

confidence: 99%

“…The majority of reported infections have been from Taiwan3 and only about 10% have been outside of Asia. A few reports have come from Australia, India, Europe and the USA4 5 (table 1). There are many reported cases of C. indologenes in paediatric populations,8 11 as well as in immunocompromised, hospitalised patients12–14 with severe illness and or with indwelling devices 7–9…”

Section: Introductionmentioning

confidence: 99%

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Chryseobacterium indologenes: an emerging infection in the USA

et al. 2016

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Nursing home-associated infections and antibiotic resistant pathogens constitute common and serious problems in the geriatric population.Chryseobacterium indologenes, a non-motile Gram-negative rod, though widely distributed in nature, is an uncommon human pathogen. Typically thought of as an organism of low virulence, it may cause serious infections, particularly among the immunocompromised. The majority of reported cases are nosocomial, often associated with immunosuppression or indwelling catheters. It has been reported as the causative agent in bacteraemia, peritonitis, pneumonia, empyema, pyelonephritis, cystitis, meningitis and central venous catheter-associated infections. We report a rare case of C. indologenesinfection affecting a nursing home resident in the USA and we provide a review of similar cases. This report emphasises the importance of individualised treatment and promotes awareness about this organism as one of several emerging pathogens in immunocompromised adults and in the frail elderly who are often nursing home residents, in the Western Hemisphere.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Chryseobacterium indologenes: an emerging infection in the USA

et al. 2016

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“…Also, Wang et al 9 reported a case of C. indologenes peritonitis in a patient with malignant ascites. In 2013, Afshar et al 10 reported a case of C. indologenes -associated peritonitis in a patient with end-stage renal disease on peritoneal dialysis. Most patients have been treated with and have responded well to piperacillin–tazobactam.…”

Section: Discussionmentioning

confidence: 99%

Chryseobacterium indologenespneumonia in a patient with non-Hodgkin's lymphoma

et al. 2014

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SUMMARYA 42-year-old man diagnosed with gastric non-Hodgkin's lymphoma 2 years earlier, for which he had undergone treatment, presented with expectorative cough, exertional shortness of breath and left-sided chest pain of 3 months duration. Respiratory system examination was suggestive of left-sided pneumonia with pleural effusion. Routine haemogram showed leukocytosis with high erythrocyte sedimentation rate. Chest radiograph showed blunting of left-sided cardiophrenic angle. Sputum culture grew Chryseobacterium indologenes. Diagnostic thoracocentesis was suggestive of lymphomatous metastasis. Pleural fluid culture was sterile. Contrastenhanced CT (CECT) of the thorax showed left lower lobe consolidation with bilateral pleural effusion. The patient was treated with antibiotics, following which his cough improved and total leukocyte count normalised. Sputum culture repeated after the antibiotic course showed no growth of C. indologenes. However, the pleural effusion soon aggravated along with features suggestive of multiple metastasis. The patient finally succumbed to his underlying advanced malignancy. BACKGROUND

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“…Continuous ambulatory peritoneal dialysis (CAPD) is an important treatment option for patients with end stage renal disease [1]. Although the rate of peritonitis has declined in recent years because of improvements in CAPD, peritoneal dialysis (PD)-related peritonitis remains a major complication in patients with end-stage renal disease [2].…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Dialysis-associated Peritonitis Caused by Chryseobacterium indologenes

Choi¹,

Oh²,

Choi³

et al. 2018

Korean J Med

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Chryseobacterium indologenes (C. indologenes) is a nonmotile, gram-negative bacillus that is widely distributed in nature. Generally considered nonpathogenic, C. indologenes rarely infects humans and is not normally present in the human microflora. C. indologenes infections have been observed in cases of peritoneal dialysis (PD)-associated peritonitis, although the incidence of these infections is low. Although C. indologenes is generally susceptible to trimethoprim-sulfamethoxazole, levofloxacin, ciprofloxacin, piperacillin-tazobactam, and cefepime, no guidelines have been established for the treatment of PD-associated peritonitis. Here we report the first case of PD-associated peritonitis in Korea with C. indologenes identified as the sole etiologic agent. The patient recovered after intraperitoneal antibiotic treatment without the need for Tenckhoff catheter removal.

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Chryseobacterium indologenesperitonitis in peritoneal dialysis

Cited by 20 publications

References 24 publications

Chryseobacterium indologenes: an emerging infection in the USA

Chryseobacterium indologenes: an emerging infection in the USA

Chryseobacterium indologenespneumonia in a patient with non-Hodgkin's lymphoma

Peritoneal Dialysis-associated Peritonitis Caused by Chryseobacterium indologenes

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