Pets are ‘Risky Business’ for Patients undergoing Continuous Ambulatory Peritoneal Dialysis

Abstract

The authors report the first case in Manitoba of a patient undergoing continuous ambulatory peritoneal dialysis who experienced three successive infections with Pasteurella multocida and Capnocytophaga species over an eight-month period. These zoonotic infections were believed to originate from contact with the patient's household pets. To prevent such infections, the authors recommend the development and implementation of hygiene guidelines outlining the risks associated with owning domestic pets for continuous ambulatory peritoneal dialysis patients.

Pasteurella Species Peritoneal Dialysis‐Associated Peritonitis: Household Pets as a Risk Factor

“…The seven cases from our centre represent the largest series reported to date. Together with the existing 30 published reports, important trends emerge ( 2 , 3 , 7 – 30 ).…”

“…The local database search revealed the seven cases described above. An additional published case from our centre ( 7 ) was added to 29 published cases identified using the search strategy described above. This resulted in a total of 37 cases for analysis.…”

“…Over the past 15 years, eight cases of P multocida PD peritonitis have been observed within the Manitoba Renal Program (Winnipeg, Manitoba), which currently provides care to 280 PD patients. In the present article, we briefly describe seven of these cases; the eighth case was previously reported in the Canadian Journal of Infectious Diseases & Medical Microbiology ( 7 ) due to its unique features as a polymicrobial zoonosis. In addition, we reviewed and analyzed the available published case reports of Pasteurella species PD-associated peritonitis ( 2 , 3 , 7 – 30 ).…”

“…In the present article, we briefly describe seven of these cases; the eighth case was previously reported in the Canadian Journal of Infectious Diseases & Medical Microbiology ( 7 ) due to its unique features as a polymicrobial zoonosis. In addition, we reviewed and analyzed the available published case reports of Pasteurella species PD-associated peritonitis ( 2 , 3 , 7 – 30 ). While the burden of such infections is small in comparison with the usual microbiology, both the prevalence of chronic renal disease ( 31 ) and pet ownership are increasing ( 32 ).…”

Capnocytophaga canimorsus peritonitis diagnosed by mass spectrometry in a diabetic patient undergoing peritoneal dialysis: a case report

“…However, the species could not be determined in all three cases. Thus far, only two cases of C. canimorsus -induced peritonitis in PD patients have been reported in 1999 and 2013 [17, 18]. Unfortunately, the identification methods were not described in the former case report.…”