Listeria monocytogenes peritonitis in a patient on peritoneal dialysis: a case report and review of the literature.
Listeria monocytogenes (LM) is one of the rare microorganisms causing peritonitis in peritoneal dialysis (PD) patients. We report a sporadic case of peritonitis caused by LM in a young female PD patient with lupus receiving corticosteroid therapy, who presented with abdominal pain, cloudy PD effluent, nausea, and conjunctivitis. The effluent showed a high PD effluent white cell count and monocytosis, and gram staining showed gram-positive bacilli in single or short chains and PD effluent culture grew LM. She was treated successfully with beta lactum antibiotics. LM peritonitis should be suspected if a patient presents with gram-positive bacilli and monocytosis in dialysis effluent.
Ahmad
Mufazzal
M
Department of Nephrology, University Health Network, University of Toronto, Toronto, ON, Canada. mufazzal2002@yahoo.co.in
Krishnan
Abirami
A
Kelman
Elizabeth
E
Allen
Vanessa
V
Bargman
Joanne M
JM
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D002442:Ceftazidime / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008089:Listeria monocytogenes; D008088:Listeriosis / Q000188:drug therapy / Q000382:microbiology*; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D002442:Ceftazidime; D002437:Cefazolin