Recurring peritonitis due to Streptococcus from the upper respiratory tract in a saxophone player under peritoneal dialysis

Amirou, M; Dominique, Lombart,; Thomas, Kedna; Watine, Joseph

doi:10.1684/abc.2012.0692

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…oralis is a VGS, which are the common cause of infective endocarditis and bacteremia associated with dental procedures (17). PD-associated peritonitis due to S. oralis is rarely reported, and no cases associated with dental procedures have been cited (12)(13)(14). In our case, although touch contamination via saliva could not be ruled out, the patient had used a UV light-based PD catheter connection system during the PD exchanges.…”

Section: Discussionmentioning

confidence: 83%

“…Our patient initially developed septic shock but was soon weaned from vasoactive agents. Among the two earlier case reports of PD-associated peritonitis caused by S. oralis , one relapsed after several months ( 13 ); however, the other had no recurrence for nine months ( 14 ). At the time of writing this report, our patient had not experienced recurrent peritonitis for three years since these events.…”

Section: Discussionmentioning

confidence: 99%

“…Streptococcus oralis is a member of the viridans group streptococci (VGS) that form the normal flora of the nose, oropharynx, skin, gastrointestinal tract, and female reproductive system (10,11). Few cases of PD-associated peritonitis due to S. oralis have been reported, although none have been associated with dental procedures or oral infection (12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

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Peritoneal Dialysis-associated Peritonitis Due to Streptococcus oralis Three Weeks after Peritoneal Dialysis Initiation

Mihara¹,

Kado²,

Matsumoto³

et al. 2024

Intern. Med.

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A 60-year-old man with end-stage renal disease due to nephrosclerosis had a peritoneal dialysis catheter (PD) embedded with stepwise initiation of peritoneal dialysis using Moncrief and Popovich's technique three months ago. PD was initiated three weeks after creating an exit site. He presented with abdominal pain and fever a day before admission and was diagnosed with PD-associated peritonitis caused by Streptococcus oralis. Medical consultation after admission revealed a history of wisdom tooth extraction following PD catheter placement, resulting in delayed wound healing. Transient bacteremia can occur after tooth extraction, leading to PD-associated peritonitis. Contemplating the oral milieu in patients undergoing PD is pertinent.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Peritoneal Dialysis-associated Peritonitis Due to Streptococcus oralis Three Weeks after Peritoneal Dialysis Initiation

Mihara¹,

Kado²,

Matsumoto³

et al. 2024

Intern. Med.

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“…These cases suggest transluminal and droplet contamination, respectively. There is variable susceptibility to many common antibiotics 10–12 . Our patient with S. mitis peritonitis likely contaminated the PD catheter with his teeth.…”

Section: Discussionmentioning

confidence: 92%

“…There is variable susceptibility to many common antibiotics. [10][11][12] Our patient with S. mitis peritonitis likely contaminated the PD catheter with his teeth.…”

Section: Discussionmentioning

confidence: 99%

Unusual cases of peritonitis: A case series of five patients

Billah

Uribarri

Charen

et al. 2022

Seminars in Dialysis

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Introduction: Peritonitis is a complication in patients on peritoneal dialysis that frequently results from touch contamination. Most cases of peritoneal dialysis-related peritonitis are caused by skin organisms. Herein, we are presenting a series of peritonitis cases with unusual organisms in a single home dialysis center at an academic hospital in New York City. Methods: The records of five patients with an unusual cause of peritonitis were reviewed by a clinician. We have chronologically tabulated the cell count of the dialysate, microbiologic cultures, and antibiotics received by each patient. Additionally, both a table and figure detail the microbiologic organisms that our dialysis unit encountered over the 3-year period concurrent with the infections reported. Results: The first patient presented with refractory polymicrobial peritonitis due to a liver abscess. Another patient presented with diverticulitis and developed enteric peritonitis with various organisms. The following patient had peritonitis in the setting of bowel pathologies and from Rhizobium after exposure to plants. The next patient developed Pasteurella peritonitis from his cat. The final patient developed multiple episodes of peritonitis from organisms including flora native to soil and water. Conclusion: These uncommon cases of peritonitis with unusual circumstances bring awareness to various elements that can lead to peritonitis. 1 | INTRODUCTION Peritoneal dialysis (PD) is the dialysis modality used by about 10% of end-stage kidney disease (ESKD) patients in the United States, 1 and peritonitis is a common complication. Most peritonitis cases develop through touch contamination during PD connections and are usually caused by common skin organisms. 2 We report here five ESKD patients on maintenance PD who developed peritonitis due to uncommon organisms. | METHODSThe records of five PD patients with an unusual cause of peritonitis in a clinic in New York City were reviewed by a clinician. The clinical course for each patient is described, and then, the implications for these organisms are detailed. The cases described span widely between 2010 and 2021. We have chronologically tabulated the cell count of the dialysate, microbiologic cultures, and antibiotics received among each patient. Additionally, a table details the various microbiologic organisms that our dialysis unit encountered during the period of 1 January 2018 to 31 December 2021. Finally, a pie chart has been included to better conceptualize the prevalence of various microbiologic organisms in our dialysis unit.

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A Patient with a Wedge-shaped Pulmonary Lesion Associated with Streptococcus parasanguinis

et al. 2016

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Recurring peritonitis due to Streptococcus from the upper respiratory tract in a saxophone player under peritoneal dialysis

Cited by 5 publications

References 3 publications

Peritoneal Dialysis-associated Peritonitis Due to <i>Streptococcus oralis</i> Three Weeks after Peritoneal Dialysis Initiation

Peritoneal Dialysis-associated Peritonitis Due to <i>Streptococcus oralis</i> Three Weeks after Peritoneal Dialysis Initiation

Unusual cases of peritonitis: A case series of five patients

A Patient with a Wedge-shaped Pulmonary Lesion Associated with <i>Streptococcus p</i><i>arasanguinis </i>

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