title: Asaia bogorensis peritonitis identified by 16S ribosomal RNA sequence analysis in a patient receiving peritoneal dialysis.
abstract: Here the authors report a case of refractory peritonitis leading to multiple hospitalizations and the loss of peritoneal dialysis access in a patient on automated peritoneal dialysis, caused by Asaia bogorensis, a bacterium not previously described as a human pathogen. This organism was identified by sequence analysis of the 16S ribosomal RNA gene. Unusual microbial agents may cause peritonitis, and molecular microbiological techniques are important tools for identifying these agents.
authors.affiliation: Renal, Electrolyte, and Hypertension Division, Department of Medicine,University of Pennsylvania, Philadelphia, PA 19131, USA.
authors.forename: Richard W
authors.initials: RW
authors.lastname: Snyder
authors.forename: Jorg
authors.initials: J
authors.lastname: Ruhe
authors.forename: Sidney
authors.initials: S
authors.lastname: Kobrin
authors.forename: Alan
authors.initials: A
authors.lastname: Wasserstein
authors.forename: Christa
authors.initials: C
authors.lastname: Doline
authors.forename: Irving
authors.initials: I
authors.lastname: Nachamkin
authors.forename: Joshua H
authors.initials: JH
authors.lastname: Lipschutz
mesh_terms: D016947:Acetobacteraceae / Q000235:genetics / Q000302:isolation & purification / Q000472:pathogenicity*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D012329:RNA, Bacterial / Q000235:genetics; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D021521:Ribotyping; D014031:Tobramycin / Q000627:therapeutic use
chemical_list: D012329:RNA, Bacterial; D012336:RNA, Ribosomal, 16S; D015378:Imipenem; D014031:Tobramycin