Stenotrophomonas maltophilia peritonitis in a patient receiving automated peritoneal dialysis. 2005

Eduardo Machuca, and Ana M Ortiz, and Ricardo Rabagliati
Department of Nephrology, P. Catholic University, Santiago, Chile.

Stenotrophomonas maltophilia is increasingly being recognized as an important cause of nosocomial infection. S. maltophilia peritonitis is a rare complication of chronic peritoneal dialysis. Here, we report the case of a 54-year-old female with end-stage renal disease treated with automated peritoneal dialysis. The patient had no previous history of peritonitis or catheter exit-site infection. She presented with fever, abdominal pain, and cloudy peritoneal effluent. The organism isolated from the effluent was S. maltophilia. The patient received trimethoprim 320 mg and sulfamethoxazole 1600 mg for 6 weeks, plus amikacin 200 mg for 14 days. She recovered completely, with no need for catheter removal. No recurrence was observed.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010530 Peritoneal Dialysis Dialysis fluid being introduced into and removed from the peritoneal cavity as either a continuous or an intermittent procedure. Dialyses, Peritoneal,Dialysis, Peritoneal,Peritoneal Dialyses
D010538 Peritonitis INFLAMMATION of the PERITONEUM lining the ABDOMINAL CAVITY as the result of infectious, autoimmune, or chemical processes. Primary peritonitis is due to infection of the PERITONEAL CAVITY via hematogenous or lymphatic spread and without intra-abdominal source. Secondary peritonitis arises from the ABDOMINAL CAVITY itself through RUPTURE or ABSCESS of intra-abdominal organs. Primary Peritonitis,Secondary Peritonitis,Peritonitis, Primary,Peritonitis, Secondary
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016905 Gram-Negative Bacterial Infections Infections caused by bacteria that show up as pink (negative) when treated by the gram-staining method. Bacterial Infections, Gram-Negative,Infections, Gram-Negative Bacterial,Bacterial Infection, Gram-Negative,Gram Negative Bacterial Infections,Gram-Negative Bacterial Infection,Infection, Gram-Negative Bacterial
D020615 Stenotrophomonas maltophilia A species of STENOTROPHOMONAS, formerly called Xanthomonas maltophilia, which reduces nitrate. It is a cause of hospital-acquired ocular and lung infections, especially in those patients with cystic fibrosis and those who are immunosuppressed. Xanthomonas maltophilia,Pseudomonas maltophilia

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