A case of peritoneal dialysis-associated peritonitis by Rothia mucilaginosa.
Rothia muciliaginosa (R. mucilaginosa) is a facultative, Gram-positive coccus that is considered to be part of the normal flora of the mouth and respiratory tract. There are sporadic reports of the organism causing endocarditis in patients with heart valve abnormalities, as well as meningitis, septicemia, and pneumonia associated with intravenous drug abuse. However, it is an unusual pathogen in cases of peritoneal dialysis (PD)-associated peritonitis. Although R. mucilaginosa is generally susceptible to penicillin, ampicillin, cefotaxime, imipenem, rifampicin, and glycopeptides, there are no guidelines for the treatment of PD-associated peritonitis. Herein, we report a case of PD-associated peritonitis due to R. mucilaginosa that was resolved with intraperitoneal antibiotic treatment.
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Byeong Gwan
BG
Kim
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
A Young
AY
Cho
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Sang Sun
SS
Kim
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Seong Hee
SH
Lee
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Hong Shik
HS
Shin
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Hyun Ju
HJ
Yoon
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Jeong Gwan
JG
Kim
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
In O
IO
Sun
Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Kwang Young
KY
Lee
Continuous ambulatory peritoneal dialysis; Peritonitis; Rothia mucilaginosa