title: Melioidosis and peritoneal dialysis related peritonitis.
abstract: We report a case of melioidosis presenting as peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD). A 47-year-old man, a lorry driver, with end-stage renal disease due to diabetes mellitus on CAPD presented in PD-related peritonitis. He was started on intraperitoneal cloxacillin and ceftazidime, and changed to intraperitoneal vancomycin and meropenam after day 5 due to nonresponse. Burkholderia pseudomallei was identified from the dialysate culture. He was treated with intraperitoneal meropenam for two weeks, and IV ceftazidime for 4 weeks. He responded, and the Tenckhoff catheter was not removed. He was discharged well and continued on oral sulfamethoxazole/trimethoprim for six months. This patient had done his PD exchanges in a lorry.
authors: Hospital Queen Elizabeth, Medical, Karung Berkunci 2029, Kota Kinabalu, Sabah 88586, Malaysia. drwongkohwei@gmail.com.
authors: K W
authors: KW
authors: Wong
mesh_terms: D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008554:Melioidosis; D010530:Peritoneal Dialysis; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis