Péritonite listérienne : une infection peut en cacher une autre…

Leduc, V.; Besselièvre, T.; Lamy, T.; Zagdoun, E.

doi:10.1016/j.nephro.2015.07.083

Néphrologie & Thérapeutique

2015

DOI: 10.1016/j.nephro.2015.07.083

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Péritonite listérienne : une infection peut en cacher une autre…

V. Leduc¹,

T. Besselièvre²,

T. Lamy³

et al.

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Peritoneal dialysis-relatedListeria monocytogenesperitonitis treated with both intravenous and intraperitoneal ampicillin

MacKay,

Ewanchuk,

McIsaac

2024

BMJ Case Rep

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Listeria monocytogenesis a ubiquitous bacterium and opportunistic pathogen for immunocompromised patients. Peritoneal dialysis-relatedL. monocytogenesperitonitis is a rare clinical presentation, with a total of 23 cases reported to date and an overall mortality rate of 17.3%. The current report describes a case of peritoneal dialysis-relatedL. monocytogenesperitonitis in a woman in her 60s on long-term immunosuppressive therapies for a prior renal transplant. We treated this patient successfully with intraperitoneal ampicillin (125 mg/L in dialysate), in addition to intravenous ampicillin (1 g every 12 hours) for 10 days and subsequent oral amoxicillin 500 mg every 12 hours to complete a total 21-day course of therapy. This treatment regimen was informed by a literature review of pre-existing case studies, which demonstrated considerable variability in recommended antimicrobial dosing and frequency. A summary of this literature review is included in the current case report.

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Peritoneal dialysis-relatedListeria monocytogenesperitonitis treated with both intravenous and intraperitoneal ampicillin

MacKay,

Ewanchuk,

McIsaac

2024

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

Forty years of peritoneal dialysis Listeria peritonitis: Case and review

et al. 2020

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Infections with Listeria monocytogenes (LM) are very uncommon and severe especially in immunocompromised people. We report a continuous cycling peritoneal dialysis (CCPD) patient who presented initially disseminated listeriosis with peritonitis. He was successfully treated with intraperitoneal and intravenous ampicillin but died unfortunately from a cardiorespiratory arrest due to food inhalation. It is the 20th case of such peritonitis mentioned among PD patients and the first reported in Belgium. This case illustrates the importance of a systematic approach to get quick diagnosis and effective antibiotic readjustment. Empiric therapy is not effective on Listeria which is naturally resistant to cephalosporins and poorly sensitive to vancomycin. Ampicillin is the first-line antibiotic. In case of penicillin allergy, trimethoprim–sulfamethoxazole or erythromycin can be used successfully. Identification of LM serotype has a prognostic value. PD educative programmes should recommend to avoid unpasteurized dairy products to prevent listeriosis.

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Péritonite listérienne : une infection peut en cacher une autre…

Cited by 2 publications

References 0 publications

Peritoneal dialysis-relatedListeria monocytogenesperitonitis treated with both intravenous and intraperitoneal ampicillin

Peritoneal dialysis-relatedListeria monocytogenesperitonitis treated with both intravenous and intraperitoneal ampicillin

Forty years of peritoneal dialysis Listeria peritonitis: Case and review

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