Streptococcus agalactiae: a rare peritoneal infection in a continuous ambulatory peritoneal dialysis patient.
Streptococcus agalactiae causes a rare and often fatal peritonitis in continuous ambulatory peritoneal dialysis (CAPD). A 52-year-old white female with Alport and chronic kidney disease was initiated on CAPD treatment. Nineteen months later she had a S. agalactiae peritonitis identified and received initially gentamicin-cephalothin, which was changed to ceftazidime, tobramycin, and vancomycin. Recovery started after peritoneal catheter removal. After 3 weeks, severe leucopenia occurred. Granulokine and steroids were given. Six weeks later, she felt well and an abdominal video laparoscopic procedure disclosed a diffuse peritoneal fibrosis, precluding CAPD resumption. She is now doing well on hemodialysis (HD).
de Los Santos
Carlos Abaeté
CA
Programa de Pós- graduação em Medicina e Ciências da Saúde (Nefrologia)/Faculdade de Medicina/IPB/HSL from Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil. abaeté@pucrs.br
Prado Lima Figueiredo
Ana Elizabeth
AE
Poli-de-Figueiredo
Carlos Eduardo
CE
D005260:Female; D006801:Humans; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000382:microbiology*; D013290:Streptococcal Infections / Q000209:etiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*