Recurrent Pseudomonas luteola (CDC group Ve-1) peritonitis in a patient undergoing continuous ambulatory peritoneal dialysis

Abstract

Recurrent Pseudomonas luteola (CDC group Ve-1) peritonitis occurred in a patient undergoing continuous ambulatory peritoneal dialysis. Catheter removal was required for cure despite therapy based on antibiotic susceptibilities. This is the third report in the English literature of severe P. luteola infection and the first report of peritonitis caused by this organism.

Chryseomonas luteola: an unusual clinical infection mimicking a mediastinal malignant lymphoma

“…luteola is an aerobic, motile, nonspore-forming gramnegative rod, ubiquitous in water and soil, which produces a characteristic yellow pigment. 7 First described by Tatum and coworkers in 1974, 8 it has been reported in few publications [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] as the causing agent mainly of bloodstream infections associated with intravenous indwelling catheters, prosthetic valve endocarditis, foreign bodies, pancreatitis, and cutaneous abscesses. Rarely, nonbacteremic cases have been described as postneurosurgical infections, fatal meningitis, peritonitis complicating appendicitis or peritoneal dialysis catheters, femur abscess, subphrenic abscess, endolphalmitis, facial cellulitis, leg ulcer in a patient with sickle disease, and hand infection.…”

“…Rarely, nonbacteremic cases have been described as postneurosurgical infections, fatal meningitis, peritonitis complicating appendicitis or peritoneal dialysis catheters, femur abscess, subphrenic abscess, endolphalmitis, facial cellulitis, leg ulcer in a patient with sickle disease, and hand infection. [10][11][12][13][14][15][16][17][18][19][20] The use of steroids, immunodepression, the presence of a foreign body, and postsurgical instability have been suggested to predispose to infection with C. luteola. Infections are therefore more frequently nosocomially acquired than community acquired.…”

Post-surgical Gangrene with Pseudomonas luteola Resulting in Limb Amputation: A Case Review

“…However, it differs from most of the other members of the Pseudomonas group, as it is oxidase negative [ 1 ]. P. luteola has clinical significance as it has been implicated in a variety of life-threatening infections such as: endocarditis, peritonitis, meningitis, septicemia and brain abscesses [ 2 - 4 ]. Moreover, it has also been diagnosed as the causal factor in less common infections such as: endophthalmitis, mediastinal botryomycosis and osteomyelitis [ 5 - 7 ].…”

Postoperative infant septicemia caused by Pseudomonas luteola (CDC group Ve-1) and Pseudomonas oryzihabitans (CDC group Ve-2)

“…Newsl. 4:87, 1982) and peritonitis (1,3,20), usually in association with indwelling catheters or prostheses. However, this is apparently the first report of the simultaneous isolation of both species from the blood of a septicemic patient.…”

“…It is notable that, in the present case, the infant had been given perioperative cefazolin. This antibiotic has a spectrum of activity very similar to that of cephalothin with which patients in several other reported cases had been treated before the onset of infection (1,3,20).…”