Peritonitis Due to Brevibacterium otitidis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis

Abstract

Brevibacterium otitidis is a coryneform rod and, as far as is known, is isolated only from infected ears. We report the first known case of peritonitis caused by B. otitidis in a patient undergoing continuous ambulatory peritoneal dialysis.

Pericardial infection caused by Brevibacterium casei

“…The genus Brevibacterium was first described in the 1950s [3], but Brevibacterium spp. have been implicated only rarely as human pathogens [1, [3][4][5][6][7][8][9][10][11][12][13][14][15]. Brevibacterium spp.…”

“…Fourteen case reports of Brevibacterium spp. infections can be found in the literature [1, [4][5][6][7][8][9][10][11][12][13][14][15]. Manifestations have included bacteraemia, with or without associated central venous catheter infection (n = 10), peritonitis (n = 2), endocarditis (n = 1) and sternal osteomyelitis (n = 1).…”

Consecutive episodes of peritonitis in a patient undergoing peritoneal dialysis caused by unusual organisms: Brevibacterium and Pantoea agglomerans

“…The main habitat of Brevibacterium is dairy products, in which the bacteria contribute to the aroma and color of the product; they are also found on human skin surfaces and genital hair, and have been associated with otorrhea [1] , [2] , [3] . A few cases of Brevibacterium -induced disease have been reported, but little is known about the optimal choice of antibiotics or treatment duration for such infections [4] , [5] . Although we did not identify the specific Brevibacterium strain in the present patient, our results suggest that Brevibacterium -associated peritonitis may be susceptible to cephalosporin antibiotics.…”

Management of long-term catheter-related Brevibacterium bacteraemia

“…are non‐motile, non‐spore forming, catalase‐positive, aerobic Gram‐positive bacilli. They are part of the normal flora of the skin and adjacent structures, but have been reported only rarely as causes of human infection, including endocarditis [1], continuous ambulatory peritoneal dialysis peritonitis [2] and bacteraemia in compromised hosts with long‐term intravenous devices [3–8]. Other habitats include raw milk, cheese and animal sources.…”