Peritonitis in a Peritoneal Dialysis Patient Due to Rhizobium Radiobacter and Moraxella Osleonsis: Case Report and Literature Review

Badrising, Sushil K.; Bakker, Leendert J.; Lobatto, S.; Es, Akaĭzin

doi:10.3747/pdi.2013.00238

Cited by 12 publications

(10 citation statements)

References 15 publications

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“…Human infection by the plant pathogen R. radiobacter (previously Agrobacterium radiobacter ) has been appreciated since the late 1980s, with clinical syndromes including bacteremia, urinary tract infections, cerebral abscesses, pericarditis and endocarditis, and peritonitis. 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 R. radiobacter is an aerobic, motile, oxidase-positive and non-spore-forming Gram-negative bacillus that is unique among rhizobia in that it causes disease in humans. A noticeable trend in these infections is the tendency of R. radiobacter to adhere to implanted devices.…”

Section: Discussionmentioning

confidence: 99%

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Case of isolated Rhizobium radiobacter contact lens-related infectious keratitis: A plant microbe now emerging as a human pathogen

Fenner

Kumar

Tan

et al. 2019

American Journal of Ophthalmology Case Reports

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Purpose To report a case of contact lens-related infectious keratitis caused by the Gram-negative plant pathogen Rhizobium radiobacter . Observations A 26-year old lady with history of contact lens use presented with three weeks history of right eye redness and pain, with the left eye also being involved in the past week. Slit lamp examination of the right eye demonstrated multiple faint subepithelial and stromal infiltrates with no overlying epithelial defect, and no anterior chamber activity. Anterior segment optical coherence tomography demonstrated multiple hyper-reflective foci scattered at various depths of the corneal stroma. Corneal scrapings grew Rhizobium radiobacter , and culture-directed antibiotic therapy with topical gentamicin and levofloxacin resulted in slow clinical improvement of the R. radiobacter keratitis without visual sequelae. Conclusions and importance We have described the clinical features, microbial susceptibilities, and response to treatment in a case of R. radiobacter infectious keratitis. R. radiobacter has recently emerged as a source for several ocular and systemic infections and was identified in a series of polymicrobial keratitis cases. Our case report of monomicrobial R. radiobacter keratitis adds to the sparse literature on this uncommon but potentially sight-threatening infection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case of isolated Rhizobium radiobacter contact lens-related infectious keratitis: A plant microbe now emerging as a human pathogen

Fenner

Kumar

Tan

et al. 2019

American Journal of Ophthalmology Case Reports

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“…Peritonitis from gram-negative bacteria is less frequent and fungal peritonitis is rare. Peritonitis from Moraxella catarrhalis has been reported frequently, but only two cases of peritonitis by Moraxella osloensis have been reported to date [2, 3].…”

Section: Discussionmentioning

confidence: 99%

“…These bacteria are very susceptible for penicillins, cephalosporins, and aminoglycosides. To date only two cases of peritonitis from M. osloensis have been reported in literature [2, 3].…”

Section: Introductionmentioning

confidence: 99%

Peritonitis due to Moraxella Osloensis: An Emerging Pathogen

Adapa¹,

Gumaste

Konala

et al. 2018

Case Reports in Nephrology

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Peritonitis is a very serious complication encountered in patients undergoing peritoneal dialysis and healthcare providers involved in the management should be very vigilant. Gram-positive organisms are the frequent cause of peritonitis compared to gram-negative organisms. There has been recognition of peritonitis caused by uncommon organisms because of improved microbiological detection techniques. We report a case of peritonitis caused by Moraxella osloensis (M. osloensis), which is an unusual cause of infections in humans. A 68-year-old male, who has been on peritoneal dialysis for 2 years, presented with abdominal pain and cloudy effluent. Peritoneal fluid analysis was consistent with peritonitis and peritoneal fluid culture grew gram-negative bacteria. M. osloensis was identified by 16 S PCR phenotypic and sequencing techniques. Patient responded well to the treatment, with intraperitoneal cephalosporin, and repeat peritoneal fluid culture yielded no growth. M. osloensis rarely causes infection in humans and responds well to treatment, as reported in literature.

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“…There are little or no evidence of B. diminuta infection in dialysis patients; other species, B. vesicularis, was previously shown to cause peritonitis (Choi et al, 2006). Badrising, Bakker, Lobatto, and Van Es (2014) reported a peritonitis case due to a co-infection by R. radiobacter and M. osleonsis. Other Moraxella species have also been shown to cause dialysis-related infections.…”

Section: Biochemical Identification Of Isolated Bacteriamentioning

confidence: 99%

Detection of microorganisms, endotoxins and aluminum in mobile dialysis services

Jesus

Ferreira

Freitas

et al. 2017

Acta Sci. Biol. Sci.

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ABSTRACT. Hemodialysis water and dialysates are fundamental in the treatment of kidney disease. During just one hemodialysis session, 120 liters of dialysate are consumed. Thus, it is essential that the parameters of chemical and microbiological quality of the fluids used in dialysis systems are carefully observed. In this study, water samples were collected at 12 hospitals in the state of Rio de Janeiro. The samples were obtained at three points of fluid reservoirs: pre-, post-osmosis and dialysis solution. After collection, colony forming units (CFU), total coliforms and Escherichia coli 100 mL -1 were quantified. Later, isolated colonies and endotoxin content were identified by biochemical assays. Data about total aluminum levels per sample (mg L -1 ) were also obtained. Samples of all mobile dialysis services and points of collection were contaminated above the levels set out by national laws, in particular by Pseudomonas aeruginosa. Endotoxin levels were also above the recommended by current legislation (> 0.25 EU mL -1 ). Only three samples contained detectable levels of aluminum, which were found to be above the recommended values for the corresponding resolution (0.01 mg L -1 ). Finally, there were no observable amounts of total coliforms and E. coli 100 mL -1 sample. The data from this study are an important step forward in the standardization and control of chemical/microbiological quality of mobile dialysis services.Keywords: dialysis, hemodialysis units, dialysis solutions.Detecção de microrganismos, endotoxinas e alumínio em serviços de diálise móvel RESUMO. Águas de hemodiálise e dialisatos são peças fundamentais na terapêutica da doença renal. Durante apenas uma sessão de hemodiálise, são consumidos aproximadamente 120 litros de dialisato. Desta forma, é essencial que os parâmetros de qualidade microbiológica e química dos fluidos utilizados em sistemas de diálise sejam cuidadosamente observados. Neste trabalho, foram coletadas amostras de água em 12 hospitais do Estado do Rio de Janeiro. Amostras foram obtidas em pontos pré-osmose, pós-osmose e solução de diálise. Após coleção, quantificaram-se unidades formadoras de colônias (UFC), coliformes totais e Escherichia coli 100 mL ). Por fim, não foram encontradas quantidades observáveis de coliformes totais e E. coli 100 mL -1 de amostra. Dados de nosso estudo são importante avanço na padronização e controle de qualidade química/microbiológica em serviços de diálise móvel.Palavras-chave: diálise, unidades hospitalares de hemodiálise, soluções para diálise.

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Peritonitis in a Peritoneal Dialysis Patient Due to Rhizobium Radiobacter and Moraxella Osleonsis: Case Report and Literature Review

Cited by 12 publications

References 15 publications

Case of isolated Rhizobium radiobacter contact lens-related infectious keratitis: A plant microbe now emerging as a human pathogen

Case of isolated Rhizobium radiobacter contact lens-related infectious keratitis: A plant microbe now emerging as a human pathogen

Peritonitis due to Moraxella Osloensis: An Emerging Pathogen

<b>Detection of microorganisms, endotoxins and aluminum in mobile dialysis services

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