Kidney Res Clin Pract.  2013 Jun;32(2):81-83.

Successful antibiotic treatment of Pseudomonas stutzeri-induced peritonitis without peritoneal dialysis catheter removal in continuous ambulatory peritoneal dialysis

• Park SW
• Back JH
• Lee SW
• Song JH
• Shin CH
• Kim GE
• Kim MJ

Abstract

Pseudomonas stutzeri is a Gram-negative, rod-shaped, motile, single polar-flagellated, soil bacterium that was first isolated from human spinal fluid and is widely distributed in the environment. It was isolated as an uncommon opportunistic pathogen from humans, and a few cases of P. stutzeri-induced peritonitis have been reported in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Catheter removal with antibiotic treatment is generally recommended because peritonitis by Pseudomonas species is commonly associated with catheter-related infection. Here, we describe the first case of P. stutzeri-induced peritonitis in an 82-year-old woman in Korea. She had received two antipseudomonal antibiotics, an aminoglycoside (isepamicin, Yuhan corporation, Seoul, Korea) and a fluoroquinolone (ciprofloxacin), and was successfully treated without removal of the CAPD catheter.

Keyword

Antibiotic treatment; Peritoneal dialysis; Peritonitis; Pseudomonas stutzeri

MeSH Terms

Aged, 80 and over
Anti-Bacterial Agents
Catheter-Related Infections
Catheters
Female
Humans
Korea
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis
Pseudomonas
Pseudomonas stutzeri
Soil
Anti-Bacterial Agents
Soil