Peritonitis as the First Presentation of Disseminated Listeriosis in a Patient on Peritoneal Dialysis—a Case Report

Beckerleg, Weiwei; Keskar, Vaibhav; Karpinski, Jolanta

doi:10.3747/pdi.2016.00205

Cited by 12 publications

(6 citation statements)

References 7 publications

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“…4 Both these patients with a fatal outcome received initial antimicrobial treatment with vancomycin, highlighting the importance of early detection of L. monocytogenes in immunocompromised patients with peritonitis, in order to assure proper antibiotic coverage, which is comprised of ampicillin alone or ampicillin in combination with gentamicin. [5][6][7] Similarly to other cases of Listeria peritonitis, our patient demonstrated resolution of Listeria infection after receiving ampicillin and gentamicin. This is the first case of Listeria peritonitis to be described in a patient status post peritoneal dialysis catheter removal thus not actively receiving peritoneal dialysis at the time of infection.…”

Section: Discussionsupporting

confidence: 80%

“…However, only 21 cases of dialysis‐associated Listeria peritonitis have been reported to date including our patient, and of these patients, only 2 had a fatal outcome from their infections 4 . Both these patients with a fatal outcome received initial antimicrobial treatment with vancomycin, highlighting the importance of early detection of L. monocytogenes in immunocompromised patients with peritonitis, in order to assure proper antibiotic coverage, which is comprised of ampicillin alone or ampicillin in combination with gentamicin 5–7 . Similarly to other cases of Listeria peritonitis, our patient demonstrated resolution of Listeria infection after receiving ampicillin and gentamicin.…”

Section: Discussionmentioning

confidence: 55%

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Listeria peritonitis in a patient on hemodialysis for end‐stage renal disease secondary to lupus nephritis—a case report

Cox,

Perez‐Albela,

Ramirez

et al. 2023

Clinical Case Reports

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Key Clinical MessagePatients with a recent history of peritoneal dialysis catheter removal in the setting of immunosuppression should be monitored for rare Listeria bacterial peritonitis. This infection should be managed with ampicillin and gentamicin.AbstractThere are scattered reports to date of patients with peritonitis caused by Listeria monocytogenes. Listeria peritonitis is more commonly reported in patients with cirrhosis and those receiving peritoneal dialysis. We present a case of L. monocytogenes peritonitis in a patient with end‐stage renal disease due to lupus nephritis actively on hemodialysis months after peritoneal dialysis catheter removal.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 55%

Listeria peritonitis in a patient on hemodialysis for end‐stage renal disease secondary to lupus nephritis—a case report

Cox,

Perez‐Albela,

Ramirez

et al. 2023

Clinical Case Reports

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“…We reviewed the relevant literature on PubMed for secondary peritonitis in PD patients since 2017 (Table 1). [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] Out of the 16 cases, perforation was the most common cause of secondary peritonitis, which might be easier to diagnose due to changes in dialysate properties. Two cases were complicated with abscesses in the kidney 8 and the spleen, as shown in our case, respectively.…”

Section: Discussionmentioning

confidence: 99%

Splenic abscess diagnosed following relapsing sterile peritonitis in a peritoneal dialysis patient: A case report with literature review

Masaki¹,

Matsushita

Inoue³

et al. 2021

Seminars in Dialysis

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Peritonitis is the most common complication leading to peritoneal dialysis (PD) withdrawal. 1 PD-related peritonitis usually resolves with antibiotic therapy. However, some cases become refractory to treatment. Some of these cases are accompanied by tunnel infection, intestinal perforation, or intraperitoneal abscesses. 2 An abdominal abscess attributing to peritonitis was reported in 0.7% of peritonitis episodes. 3 In particular, a splenic abscess complicated with PD-related peritonitis is a rare disease, with only two previous reports. 4,5 Splenic abscess itself is also rare, with a frequency between 0.2% and 0.7% reported in autopsy-based studies. 6 Its major etiologies include endocarditis or hematogeneous seeding such as intra-abdominal sepsis, chest infection, or osteomyelitis. 7

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“…L. monocytogenes can cause PD-related peritonitis and is associated with a mortality rate as high as 30% in cases of systemic infection [6]. In recent years, a few case reports of PD-related peritonitis caused by Listeria have been published [7,8], but the treatment strategies mentioned in these reports varied.…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneal ampicillin treatment for peritoneal dialysis- related peritonitis with Listeria monocytogenes – a case report

et al. 2020

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Background Peritoneal dialysis (PD)-related peritonitis is a rare but serious complication and is associated with increased morbidity and mortality rates. It is most commonly caused by Staphylococcus aureus or Staphylococcus epidermidis, but infection with Listeria monocytogenes may also occur. Recommendations for antibiotic treatment of a Listeria infection are currently based on a small number of case reports and suggest the administration of ampicillin. But unlike vancomycin or gentamicin, for ampicillin the route of application, the dosage, and the duration of treatment have not yet been established. We report a case in which PD-associated peritonitis due to Listeria infection was treated with ampicillin administered intravenously and intraperitoneally, separately and in combination. Case presentation A 72-year-old man with chronic kidney disease stage 5 dialysis (CKDG5D) secondary to hypertension and diabetes was hospitalised in April 2020 because of PD-related peritonitis caused by a Listeria infection. In accordance with the results of resistance tests, the patient was treated with intravenous ampicillin at a dosage of 6 g twice daily. After initial treatment the leukocyte count in the PD effluent had decreased substantially, but it was permanently reduced only with the addition of intraperitoneal ampicillin (4 g daily). Efficient serum concentrations of ampicillin were determined for both routes of administration, intravenous and intraperitoneal. Conclusion This is the first case report demonstrating that PD-related peritonitis due to Listeria monocytogenes infection can be treated with intraperitoneal ampicillin and monitored by the determination of peripheral serum concentrations of ampicillin.

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Peritonitis as the First Presentation of Disseminated Listeriosis in a Patient on Peritoneal Dialysis—a Case Report

Cited by 12 publications

References 7 publications

Listeria peritonitis in a patient on hemodialysis for end‐stage renal disease secondary to lupus nephritis—a case report

Listeria peritonitis in a patient on hemodialysis for end‐stage renal disease secondary to lupus nephritis—a case report

Splenic abscess diagnosed following relapsing sterile peritonitis in a peritoneal dialysis patient: A case report with literature review

Intraperitoneal ampicillin treatment for peritoneal dialysis- related peritonitis with Listeria monocytogenes – a case report

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