title: Automated peritoneal dialysis-related peritonitis due to Salmonella enteritidis in a pediatric patient.
abstract: Peritoneal dialysis (PD) represents the preferred renal replacement therapy in pediatric patients; however, the younger the age at PD initiation, the greater the risk of PD-related infections. We present here the first case report of a 14-year-old girl with automated peritoneal dialysis-related Salmonella enteritidis peritonitis. The child responded only partially to an appropriate course of antibiotic therapy; the PD catheter was therefore removed and the patient shifted to hemodialysis. Along with the clinical course description, we review the mechanisms by which this group of Salmonella could infect the peritoneal cavity in patients on PD. Pediatric nephrologists should be aware that peritoneal catheter removal is often required for the complete resolution of this type of bacterial peritonitis.
authors.affiliation: Department of Pediatrics, Pediatric Nephrology, Dialysis and Transplantation Unit, University of Padua, Via Giustiniani, 3, 35128, Padua, Italy. enrico.vidal@inwind.it
authors.forename: Enrico
authors.initials: E
authors.lastname: Vidal
authors.forename: Antonio
authors.initials: A
authors.lastname: Marzollo
authors.forename: Martina
authors.initials: M
authors.lastname: Betto
authors.forename: Luisa
authors.initials: L
authors.lastname: Murer
mesh_terms: D000293:Adolescent; D057785:Catheters; D020878:Device Removal; D005260:Female; D006801:Humans; D010529:Peritoneal Cavity / Q000382:microbiology* / Q000473:pathology; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000382:microbiology* / Q000628:therapy; D012480:Salmonella Infections / Q000209:etiology*; D012477:Salmonella enteritidis