Infect Chemother.  2011 Jun;43(3):275-278. 10.3947/ic.2011.43.3.275.

Continuous Ambulatory Peritoneal Dialysis-Associated Peritonitis Caused by Achromobacter xylosoxidans: A Case Report and Comprehensive Literature Review

• Oh TG
• Baek JH
• Jeong SJ
• Chae YT
• Ku NS
• Chin BS
• Han SH
• Kim CO
• Song YG
• Lee HY
• Kim JM
• Choi JY

• KMID: 2170351
• DOI: http://doi.org/10.3947/ic.2011.43.3.275

Abstract

Achromobacter xylosoxidans is an uncommon cause of peritonitis in patients on maintenance continuous ambulatory peritoneal dialysis (CAPD). CAPD peritonitis caused by Achromobacter xylosoxidans carries high mortality and recurrence rates because of its virulence and resistance to most antimicrobial agents. We experienced a case of CAPD peritonitis caused by Achromobacter xylosoxidans in a patient with hypertension, diabetes mellitus, and end stage renal disease. The patient was treated with intravenous imipenem/cilastatin, and the CAPD catheter was removed. However, the patient died by aspiration pneumonia on the 34th day of hospitalization.

Keyword

Achromobacter xylosoxidans; Continuous ambulatory peritoneal dialysis; Peritonitis

MeSH Terms

Achromobacter
Achromobacter denitrificans
Anti-Infective Agents
Catheters
Diabetes Mellitus
Hospitalization
Humans
Hypertension
Kidney Failure, Chronic
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis
Pneumonia, Aspiration
Recurrence
Anti-Infective Agents

Reference

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