title: Rothia dentocariosa repeat and relapsing peritoneal dialysis-related peritonitis: a case report and literature review.
abstract: Peritonitis is well recognized as the Achilles tendon of peritoneal dialysis (PD). Reoccurrence of peritonitis due to the same organism, defined as either repeat or relapsing peritonitis under the 2005 guidelines by the International Society for Peritoneal Dialysis, often results in PD technique failure. Rothia dentocariosa, a low-virulent human oropharynx commensal, is a rarely reported pathogen in human infection, particularly infective endocarditis. R. dentocariosa PD-related peritonitis is exceedingly uncommon yet potentially results in repeat or relapsing peritonitis which requires catheter removal. We report a case of R. dentocariosa repeat and relapsing peritonitis in a PD patient who was treated successfully with antimicrobial therapy.
authors.affiliation: Renal Unit, Department of Medicine, University Malaya Medical Center, Kuala Lumpur, Malaysia. tllktc@yahoo.com
authors.forename: Tee Chau
authors.initials: TC
authors.lastname: Keng
authors.forename: Kok Peng
authors.initials: KP
authors.lastname: Ng
authors.forename: Li Ping
authors.initials: LP
authors.lastname: Tan
authors.forename: Yip Boon
authors.initials: YB
authors.lastname: Chong
authors.forename: Chew Ming
authors.initials: CM
authors.lastname: Wong
authors.forename: Soo Kun
authors.initials: SK
authors.lastname: Lim
mesh_terms: D000193:Actinomycetales Infections / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology*; D012008:Recurrence