A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensis
Peritonitis is a common and serious complication of peritoneal dialysis (PD) with significant morbidity. We report the first case of relapsing Dokdonella koreensis peritonitis in a patient on peritoneal dialysis. A 63-year-old Chinese man, with history of renal failure on continuous ambulatory perit...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/3820513 |
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| author | Jamie Bee Xian Tan Alvin Ren Kwang Tng Htay Htay |
| author_facet | Jamie Bee Xian Tan Alvin Ren Kwang Tng Htay Htay |
| author_sort | Jamie Bee Xian Tan |
| collection | DOAJ |
| description | Peritonitis is a common and serious complication of peritoneal dialysis (PD) with significant morbidity. We report the first case of relapsing Dokdonella koreensis peritonitis in a patient on peritoneal dialysis. A 63-year-old Chinese man, with history of renal failure on continuous ambulatory peritoneal dialysis, presented with cloudy peritoneal effluent and abdominal pain. There was no sign or symptom suggestive of exit-site/tunnel tract infection. Peritoneal effluent cultures yielded Dokdonella koreensis which was initially misidentified as Weeksella virosa and Brevundimonas species by the API® 20 NE and VITEK® 2 GN ID card, respectively. He was treated with intraperitoneal amikacin, but the infection relapsed within a few days upon completing each antibiotic course. He eventually required removal of catheter and was transferred to hemodialysis. Infections due to unusual organisms may pose a diagnostic issue as currently available commercial tests will not be able to identify them. There is a role for using 16S rRNA sequencing to help identify these organisms and guide patient management. |
| format | Article |
| id | doaj-art-81a10ed63081407180784227df55450e |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-81a10ed63081407180784227df55450e2025-02-03T05:58:20ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/38205133820513A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensisJamie Bee Xian Tan0Alvin Ren Kwang Tng1Htay Htay2Department of Microbiology, Singapore General Hospital, Outram Road, 169608, SingaporeDepartment of Renal Medicine, Singapore General Hospital, Outram Road, 169608, SingaporeDepartment of Renal Medicine, Singapore General Hospital, Outram Road, 169608, SingaporePeritonitis is a common and serious complication of peritoneal dialysis (PD) with significant morbidity. We report the first case of relapsing Dokdonella koreensis peritonitis in a patient on peritoneal dialysis. A 63-year-old Chinese man, with history of renal failure on continuous ambulatory peritoneal dialysis, presented with cloudy peritoneal effluent and abdominal pain. There was no sign or symptom suggestive of exit-site/tunnel tract infection. Peritoneal effluent cultures yielded Dokdonella koreensis which was initially misidentified as Weeksella virosa and Brevundimonas species by the API® 20 NE and VITEK® 2 GN ID card, respectively. He was treated with intraperitoneal amikacin, but the infection relapsed within a few days upon completing each antibiotic course. He eventually required removal of catheter and was transferred to hemodialysis. Infections due to unusual organisms may pose a diagnostic issue as currently available commercial tests will not be able to identify them. There is a role for using 16S rRNA sequencing to help identify these organisms and guide patient management.http://dx.doi.org/10.1155/2018/3820513 |
| spellingShingle | Jamie Bee Xian Tan Alvin Ren Kwang Tng Htay Htay A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensis Case Reports in Infectious Diseases |
| title | A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensis |
| title_full | A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensis |
| title_fullStr | A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensis |
| title_full_unstemmed | A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensis |
| title_short | A Case of Relapsing Peritoneal Dialysis-Associated Peritonitis by Dokdonella koreensis |
| title_sort | case of relapsing peritoneal dialysis associated peritonitis by dokdonella koreensis |
| url | http://dx.doi.org/10.1155/2018/3820513 |
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