title: CDC Group EO-4 and Candida tropicalis Peritonitis in a Patient on Peritoneal Dialysis after Upper Endoscopy, Colonoscopy and Coil Embolization of the Gastroduodenal Artery.
abstract: Peritoneal dialysis (PD) is an excellent form of renal replacement therapy for many patients with end-stage renal disease (ESRD). Over 10,000 patients receive PD in the United States [United States Renal Data System:2015 USRDS Annual Data Report: Epidemiology of Kidney Disease in the United States,2015]. PD has superior outcomes compared to hemodialysis in the first 2 years of ESRD [Sinnakirouchenan and Holley: Adv Chronic Kidney Dis 2011;18: 428-432]. However, peritonitis is a known complication and may result in significant morbidity and necessitate transition to hemodialysis, which increases medical costs [Holley and Piraino: Semin Dial 1990;3: 245-248]. We report the first case of a PD patient who underwent endoscopy, colonoscopy and CT angiogram with coil embolization for gastrointestinal bleeding without antibiotic prophylaxis and subsequently developed CDC group EO-4 organism and fungal peritonitis.
authors.affiliation: Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Shameek
authors.initials: S
authors.lastname: Gayen
authors.affiliation: Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Yonah
authors.initials: Y
authors.lastname: Ziemba
authors.affiliation: Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Shikha
authors.initials: S
authors.lastname: Jaiswal
authors.affiliation: Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Adam
authors.initials: A
authors.lastname: Frank
authors.affiliation: Thomas Jefferson University, Philadelphia, PA, USA.
authors.forename: Yasmin
authors.initials: Y
authors.lastname: Brahmbhatt
keywords: CDC group EO-4 organism peritonitis; Candida tropicalis peritonitis; Fungal peritonitis; Peritoneal dialysis