Korean J Med.  2006 Aug;71(2):219-223.

A case of Burkholderia cepacia peritonitis in a patient on CAPD

• Kang HM
• Park JE
• Lee HD
• Han BJ
• Kim SH
• Shin SH
• Yoon SJ

Abstract

Burkholderia cepacia is an important opportunistic pathogen in immunocompromised and nosocomial patients, but this bacterial infection is rare in Korea. We report a case of Burkholderia cepacia peritonitis in a patient on CAPD. A 69-year-old male on CAPD for 5 years was presented with turbid peritoneal dialysate, diffuse abdominal pain and diarrhea. He was treated initially with intraperitoneal cefazolin and ceftazidime, and then intraperitoneal meropenem and oral TMP/SMX. His symptoms had improved with antibiotic treatment, but white blood cell counts of dialysate increased, instead. Burkholderia cepacia was isoloated from peritoneal fluid culture. The patient refused catheter removal in spite of our recommendation. He died of suddenly developed acute myocardial infarction and upper gastrointestinal bleeding. Catether tip culture also revealed Burkholderia cepacia.

Keyword

Burkholderia cepacia; Peritoneal dialysis; Peritonitis

MeSH Terms

Abdominal Pain
Aged
Ascitic Fluid
Bacterial Infections
Burkholderia cepacia*
Burkholderia*
Catheters
Cefazolin
Ceftazidime
Diarrhea
Hemorrhage
Humans
Korea
Leukocyte Count
Male
Myocardial Infarction
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory*
Peritonitis*
Cefazolin
Ceftazidime