title: Morganella morganii Peritonitis Associated with Continuous Ambulatory Peritoneal Dialysis (CAPD) after Colonoscopy.
abstract: A 79-year-old man on continuous ambulatory peritoneal dialysis (CAPD) developed abdominal pain and cloudy peritoneal fluid two days after colonoscopy that revealed multiple diverticula. The white blood cell count was 9,000 cells/μL, C-reactive protein level was 6.86 mg/dL, and the white blood cell count of the peritoneal fluid was 7,800 cells/μL, suggesting acute peritonitis. Empiric therapy consisting of cefazolin and ceftazidime slowly improved the patient's symptoms. The initial microbiological examination of the peritoneal fluid demonstrated Morganella morganii. He was changed from CAPD to hemodialysis. It is important to consider M. morganii peritonitis in patients with colonic diverticula.
authors.affiliation: Division of Nephrology and Rheumatology, Department of Internal Medicine, Aichi Medical University School of Medicine, Japan.
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Kimura
authors.forename: Ayano
authors.initials: A
authors.lastname: Ito
authors.forename: Kanyu
authors.initials: K
authors.lastname: Miyamoto
authors.forename: Norihiro
authors.initials: N
authors.lastname: Suga
authors.forename: Naoto
authors.initials: N
authors.lastname: Miura
authors.forename: Tomomichi
authors.initials: T
authors.lastname: Kasagi
authors.forename: Yuka
authors.initials: Y
authors.lastname: Yamagishi
authors.forename: Hiroshige
authors.initials: H
authors.lastname: Mikamo
authors.forename: Hirokazu
authors.initials: H
authors.lastname: Imai
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001202:Ascitic Fluid / Q000382:microbiology; D002097:C-Reactive Protein; D003113:Colonoscopy; D004241:Diverticulum, Colon / Q000150:complications*; D004756:Enterobacteriaceae Infections / Q000150:complications* / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D020613:Morganella morganii; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000150:complications* / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D002097:C-Reactive Protein