Citrobacter freundii peritonitis and tunnel infection in a patient on continuous ambulatory peritoneal dialysis.
The clinical course of a patient on continuous ambulatory peritoneal dialysis who developed peritonitis and tunnel infection due to an unusual pathogen, Citrobacter freundii, is described. The patient did not respond well to antibiogram-based therapy (intravenous meropenem and intraperitoneal gentamicin) and removal of the catheter was required.
Dervisoglu
Erkan
E
Department of Internal Medicine, Division of Nephrology, School of Medicine, Kocaeli University, Kocaeli 41380, Turkey.
Yumuk
Zeki
Z
Department of Clinical Microbiology, School of Medicine, Kocaeli University, Kocaeli 41380, Turkey.
Yegenaga
Itir
I
Department of Internal Medicine, Division of Nephrology, School of Medicine, Kocaeli University, Kocaeli 41380, Turkey.
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002404:Catheterization; D016971:Citrobacter freundii / Q000187:drug effects / Q000302:isolation & purification*; D020878:Device Removal; D004756:Enterobacteriaceae Infections / Q000209:etiology* / Q000382:microbiology; D005260:Female; D005839:Gentamicins / Q000494:pharmacology; D006801:Humans; D000077731:Meropenem; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D013845:Thienamycins / Q000494:pharmacology
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D013845:Thienamycins; D000077731:Meropenem