title: Successful antibiotic treatment of Pseudomonas stutzeri-induced peritonitis without peritoneal dialysis catheter removal in continuous ambulatory peritoneal dialysis.
abstract: Pseudomonas stutzeri is a Gram-negative, rod-shaped, motile, single polar-flagellated, soil bacterium that was first isolated from human spinal fluid and is widely distributed in the environment. It was isolated as an uncommon opportunistic pathogen from humans, and a few cases of P. stutzeri-induced peritonitis have been reported in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). Catheter removal with antibiotic treatment is generally recommended because peritonitis by Pseudomonas species is commonly associated with catheter-related infection. Here, we describe the first case of P. stutzeri-induced peritonitis in an 82-year-old woman in Korea. She had received two antipseudomonal antibiotics, an aminoglycoside (isepamicin, Yuhan corporation, Seoul, Korea) and a fluoroquinolone (ciprofloxacin), and was successfully treated without removal of the CAPD catheter.
authors.affiliation: Division of Nephrology and Hypertension, Department of Internal Medicine.
authors.forename: Sung Wook
authors.initials: SW
authors.lastname: Park
authors.affiliation: Division of Infectious Disease, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Ji Hyeon
authors.initials: JH
authors.lastname: Back
authors.affiliation: Division of Nephrology and Hypertension, Department of Internal Medicine.
authors.forename: Seoung Woo
authors.initials: SW
authors.lastname: Lee
authors.affiliation: Division of Nephrology and Hypertension, Department of Internal Medicine.
authors.forename: Joon Ho
authors.initials: JH
authors.lastname: Song
authors.affiliation: Division of Nephrology and Hypertension, Department of Internal Medicine.
authors.forename: Chun Ho
authors.initials: CH
authors.lastname: Shin
authors.affiliation: Division of Infectious Disease, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Gyung Eun
authors.initials: GE
authors.lastname: Kim
authors.affiliation: Division of Nephrology and Hypertension, Department of Internal Medicine.
authors.forename: Moon-Jae
authors.initials: MJ
authors.lastname: Kim
keywords: Antibiotic treatment; Peritoneal dialysis; Peritonitis; Pseudomonas stutzeri