Relapsing peritonitis with Bacillus cereus in a patient on continuous ambulatory peritoneal dialysis.
We present a case where Bacillus cereus was determined to be the causative agent of relapsing peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD). The patient, a 70-year-old man from the Faroe Islands, was admitted with relapsing peritonitis four times over a 3-month period. Peritoneal cultures were positive for growth of B. cereus, a rare bacterial cause of peritonitis. The cultures demonstrated susceptibility to vancomycin, and therefore the patient was treated with intraperitoneal vancomycin, intraperitoneal gentamycin and oral ciprofloxacin. As a result of the relapsing B. cereus peritonitis diagnosis and a CT scan showing contraction of the peritoneum after longstanding inflammation, the peritoneal catheter was removed and the patient converted to haemodialysis. To date, the patient has not been readmitted due to peritonitis. A lack of proper hygiene when changing the dialysis bag was the suspected source of infection with B. cereus.
Medical Department, National Hospital Faroe Islands, Tórshavn, Faroe Islands.
Eyð Tausen
ET
Magnussen
Department of Diagnostic Medicine, National Hospital Faroe Islands, Tórshavn, Faroe Islands.
Amanda Gratton
AG
Vang
Medical Department, National Hospital Faroe Islands, Tórshavn, Faroe Islands.
Torkil
T
á Steig
Medical Department, Infectious Diseases Division, National Hospital Faroe Islands, Tórshavn, Faroe Islands Department Infectious Diseases, Odense University Hospital, Odense, Denmark Faculty of Science and Technology, University of the Faroe Islands, Tórshavn, Faroe Islands.
Shahin
S
Gaini
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001409:Bacillus cereus / Q000254:growth & development*; D003718:Denmark; D004866:Equipment Contamination; D006801:Humans; D007249:Inflammation / Q000209:etiology; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010537:Peritoneum / Q000382:microbiology* / Q000473:pathology; D010538:Peritonitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D012008:Recurrence; D051437:Renal Insufficiency / Q000628:therapy
D000900:Anti-Bacterial Agents