Korean J Nephrol.
2009 Nov;28(6):681-684.
Peritonitis due to Leclercia adecarboxylata in a Patient Receiving Automated Peritoneal Dialysis
- Affiliations
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- 1Department of Internal Medicine, Gachon University of medicine and science, Incheon, Korea. imsejoong@hanmail.net
- 2Department of Laboratory of Molecular Nephrology, Gachon University of medicine and science, Incheon, Korea.
- 3Department of Laboratory Medicine, Gachon University of medicine and science, Incheon, Korea.
Abstract
- Peritonitis in patients undergoing peritoneal dialysis is a major complication and the leading cause of peritoneal dialysis failure. Leclercia adecarboxylata is a motile, gram-negative, facultative anaerobic bacillus of the Enterobacteriaceae family. These bacteria are uncommon pathogen, and rarely isolated from environmental and clinical specimens. Some cases have been reported about peritonitis due to Leclercia adecarboxylata in a patient receiving continuous ambulatory peritoneal dialysis (CAPD). However, there has never been any report about peritonitis in a patient receiving automated peritoneal dialysis (APD). We have isolated Leclercia adecarboxylata from peritoneal fluid in a patient receiving APD, and the patient completely recovered with 14-day treatment of intraperitoneal antibiotics without catheter removal.
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