Electrolyte Blood Press.  2018 Dec;16(2):27-29. 10.5049/EBP.2018.16.2.27.

A Case of Peritoneal Dialysis-related Peritonitis Caused by Aeromonas Hydrophila in the Patient Receiving Automated Peritoneal Dialysis

• Kim HJ
• Park HS
• Bae E
• Kim HW
• Kim B
• Moon KH
• Lee DY

• KMID: 2439089
• DOI: http://doi.org/10.5049/EBP.2018.16.2.27

Abstract

Peritoneal dialysis (PD)-related peritonitis is a major cause of injury and technique failure in patients undergoing PD. Aeromonas hydrophila is ubiquitous in the environment, and is a Gram-negative rod associated with infections in fish and amphibians in most cases; however, it can also cause opportunistic infections in immunocompromised patients. We report a case of A. hydrophila peritonitis in a 56-year-old male on automated PD. Peritonitis may have been caused by contamination of the Set Plus, a component of the automated peritoneal dialysis device. Although Set Plus is disposable, the patient reused the product by cleansing with tap water. He was successfully treated with intraperitoneally-administered ceftazidime and has been well without recurrence for more than 2 years.

Keyword

Aeromonas hydrophila; Peritoneal dialysis; Peritonitis

MeSH Terms

Aeromonas hydrophila*
Aeromonas*
Amphibians
Ceftazidime
Humans
Immunocompromised Host
Male
Middle Aged
Opportunistic Infections
Peritoneal Dialysis*
Peritonitis*
Recurrence
Water
Ceftazidime
Water

Figure

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  Fig. 1

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  Fig. 2 A. hydrophila was cultured in blood agar plate and MacConkey plate.

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