Keimyung Med J.  2014 Dec;33(2):169-172. 10.0000/kmj.2014.33.2.169.

Peritonitis Due to Leuconostoc Species in a Patient Receiving Continuous Ambulatory Peritoneal Dialysis

Affiliations
  • 1Division of Nephrology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, Busan, Korea. Lotlot98@naver.com

Abstract

Leuconostoc species are gram-positive cocci and they are rarely pathogenic in human. Leuconostoc infections are commonly associated with immunocompromised status and indwelling medical devices include intravenous catheter, tracheostomy, endotracheal intubation and percutaneous endoscopic gastrostomy. Clinical isolates of Leuconostoc were frequently misidentified, usually as viridans streptococci, but they possess inherent resistance to vancomycin despite sensitivity to most other antibiotics. We present a case of Leuconostoc peritonitis in patients receiving continuous ambulatory peritoneal dialysis (CAPD). A 48-year-old man with hypertensive nephropathy has been treated with peritoneal dialysis, developed peritonitis due to Leuconostoc species. The peritonitis was poorly responded to empirical antibiotics. He was successfully treated with intraperitoneal administration of ampicillin. The dialysis catheter was left in place, and continued to function. To our knowledge, this is the first case of Leuconostoc peritonitis reported in Korea.

Keyword

Leuconostoc; Peritoneal dialysis; Peritonitis

MeSH Terms

Ampicillin
Anti-Bacterial Agents
Catheters
Dialysis
Gastrostomy
Gram-Positive Cocci
Humans
Intubation, Intratracheal
Korea
Leuconostoc*
Middle Aged
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory*
Peritonitis*
Tracheostomy
Vancomycin
Viridans Streptococci
Ampicillin
Anti-Bacterial Agents
Vancomycin
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