title: Citrobacter peritonitis: two cases and review of the literature.
abstract: One of the uncommon gram negative organisms causing peritonitis in peritoneal dialysis patients is Citrobacter. Because of this organism's resistant nature, treatment for Citrobacter peritonitis may be difficult, and removal of the catheter may be necessary in refractory cases. Here we present 2 cases of peritonitis caused by this organism and fully treated with antibiotics. The literature contains only a limited number of reports on Citrobacter peritonitis, mostly case reports or portions of general papers about the microbiological spectrum of peritonitis in the relevant units. Until enough data about this micro-organism have been accumulated to map out an approach, it is wise to individualize treatment by watching the response of the patient during the wait for the antibiogram result and not to hesitate to remove the catheter if the clinical situation deteriorates.
authors.affiliation: Nephrology, Haseki Training and Research Hospital, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey. drmeltemgursu@gmail.com
authors.forename: Meltem
authors.initials: M
authors.lastname: Gursu
authors.forename: Zeki
authors.initials: Z
authors.lastname: Aydin
authors.forename: Filiz
authors.initials: F
authors.lastname: Pehlivanoglu
authors.forename: Savas
authors.initials: S
authors.lastname: Ozturk
authors.forename: Serhat
authors.initials: S
authors.lastname: Karadag
authors.forename: Sami
authors.initials: S
authors.lastname: Uzun
authors.forename: Emel
authors.initials: E
authors.lastname: Tatli
authors.forename: Rumeyza
authors.initials: R
authors.lastname: Kazancioglu
mesh_terms: D000328:Adult; D002954:Citrobacter; D004756:Enterobacteriaceae Infections / Q000188:drug therapy; D005260:Female; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology*