Aeromonas Sobria Peritonitis in a Peritoneal Dialysis (PD) Patient: a Case Report and Review of the Literature

Overview

Journal BMC Nephrol

Publisher Biomed Central

Specialty Nephrology

Date 2019 May 22

PMID 31109291

Citations 8

Authors

Panai Song

Jun Deng

Tao Hou

Xiao Fu

Lei Zhang

Lin Sun

Yinghong Liu

Affiliations

Soon will be listed here.

Abstract

Background: Peritonitis is a common cause of catheter removal and mortality in the patient undergoing peritoneal dialysis (PD). Various pathogenic organisms have been identified as the etiology of PD-related peritonitis, among which Aeromonas sobria is a rare one. Several studies have indicated that Aeromonas sobria might be of particular clinical significance because of its enterotoxin production. We here present a case of peritonitis due to Aeromonas sobria in a PD patient and review of the related literature.

Case Presentation: A 37-year-old man with chronic renal failure who was secondary to chronic glomerulonephritis had been on PD for approximately 6 months without any episode of peritonitis. In July 2015, he was admitted to the hospital for fever, vomiting, abdominal pain, diarrhea and cloudy dialysate several hours after eating stinky tofu. The peritoneal effluent culture yielded Aeromonas sobria. The patient was given intraperitoneal amikacin and intravenous levofloxacin for 10 days. And the patient's symptoms such as diarrhea, abdominal pain were relieved and the cloudy effluent turned to be clear. Unfortunately, peritoneal dialysis catheter was blocked because of fibrin clot formation in the setting of inflammation, and finally it was removed.

Conclusions: Aeromonas species are rare causes of PD-related peritonitis, however they should not be ignored. Clinicians should be aware of monitoring the hygiene protocol and retraining patients at regular intervals, especially for such rare cases.

Citing Articles

Recent Records on Bacterial Opportunistic Infections via the Dietary Route.

Rossi F, Santonicola S, Amadoro C, Marino L, Colavita G Microorganisms. 2024; 12(1).

PMID: 38257896 PMC: 10819555. DOI: 10.3390/microorganisms12010069.

Virulence, Antibiotic Resistance, and Phylogenetic Relationships of spp. Carried by Migratory Birds in China.

Liang B, Ji X, Jiang B, Yuan T, Gerile C, Zhu L Microorganisms. 2023; 11(1).

PMID: 36677299 PMC: 9862355. DOI: 10.3390/microorganisms11010007.

and Human Health Disorders: Clinical Approaches.

Pessoa R, de Oliveira W, Correia M, Fontes A, Coelho L Front Microbiol. 2022; 13:868890.

PMID: 35711774 PMC: 9195132. DOI: 10.3389/fmicb.2022.868890.

Microbiology and Outcome of Peritoneal Dialysis-Related Peritonitis in Elderly Patients: A Retrospective Study in China.

Song P, Yang D, Li J, Zhuo N, Fu X, Zhang L Front Med (Lausanne). 2022; 9:799110.

PMID: 35492330 PMC: 9046869. DOI: 10.3389/fmed.2022.799110.

Serine Protease Degrades Several Protein Components of Tight Junctions and Assists Bacterial Translocation Across the T84 Monolayer.

Ueda M, Kobayashi H, Seike S, Takahashi E, Okamoto K, Yamanaka H Front Cell Infect Microbiol. 2022; 12:824547.

PMID: 35273923 PMC: 8902146. DOI: 10.3389/fcimb.2022.824547.

References

Kayaoglu H, Ozkan N, Yenidogan E, Koseoglu R . Effect of antibiotic lavage in adhesion prevention in bacterial peritonitis. Ulus Travma Acil Cerrahi Derg. 2013; 19(3):189-94. DOI: 10.5505/tjtes.2013.63444. View

Huang D, Zhao Y, Jiang Y, Li Z, Yang W, Chen G . Spontaneous bacterial peritonitis caused by Aeromonas caviae in a patient with cirrhosis. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2015; 40(3):341-4. DOI: 10.11817/j.issn.1672-7347.2015.03.017. View

Sahin I, Barut H . Quinolone-resistant Aeromonas hydrophila peritonitis in a CAPD patient. Clin Nephrol. 2010; 73(3):241-3. DOI: 10.5414/cnp73241. View

Liakopoulos V, Arampatzis S, Kourti P, Tsolkas T, Zarogiannis S, Eleftheriadis T . Aeromonas hydrophila as a causative organism in peritoneal dialysis-related peritonitis: case report and review of the literature. Clin Nephrol. 2011; 75 Suppl 1:65-8. View

Lin W, Su S, Lai C, Tsai T, Gau S, Chao C . Peritonitis caused by Aeromonas species at a hospital in southern Taiwan. Intern Med. 2013; 52(22):2517-21. DOI: 10.2169/internalmedicine.52.0180. View

Sirinavin S, Likitnukul S, Lolekha S . Aeromonas septicemia in infants and children. Pediatr Infect Dis. 1984; 3(2):122-5. DOI: 10.1097/00006454-198403000-00008. View

Ruiz de Gonzalez P, Escolano C, Rodriguez J, Sillero C, Royo G . Aeromonas sobria spontaneous bacterial peritonitis and bacteremia. Am J Gastroenterol. 1994; 89(2):290-1. View

Munoz P, Fernandez-Baca V, Pelaez T, Sanchez R, Rodriguez-Creixems M, Bouza E . Aeromonas peritonitis. Clin Infect Dis. 1994; 18(1):32-7. View

Solaro L, Brown R, BROWN P . Post-transplant peritonitis in patients undergoing continuous ambulatory peritoneal dialysis. J Hosp Infect. 1987; 9(3):274-7. DOI: 10.1016/0195-6701(87)90124-1. View

10.

Solaro L, Michael J . Aeromonas hydrophila peritonitis in a renal transplant recipient. J Infect. 1986; 13(3):300-1. DOI: 10.1016/s0163-4453(86)91520-3. View

11.

Vila J, Marco F, Soler L, Chacon M, Figueras M . In vitro antimicrobial susceptibility of clinical isolates of Aeromonas caviae, Aeromonas hydrophila and Aeromonas veronii biotype sobria. J Antimicrob Chemother. 2002; 49(4):701-2. DOI: 10.1093/jac/49.4.701. View

12.

Chuang Y, Shu K, Yu T, Cheng C, Chen C . Hypokalaemia: an independent risk factor of Enterobacteriaceae peritonitis in CAPD patients. Nephrol Dial Transplant. 2008; 24(5):1603-8. DOI: 10.1093/ndt/gfn709. View

13.

Janma J, Linasmita P, Changsirikulchai S . A Report of Peritonitis from Aeromonas sobria in a Peritoneal Dialysis (PD) Patient with Necrotizing Fasciitis. J Med Assoc Thai. 2016; 98 Suppl 10:S150-3. View

14.

Ruger W, van Ittersum F, Comazzetto L, Hoeks S, ter Wee P . Similar peritonitis outcome in CAPD and APD patients with dialysis modality continuation during peritonitis. Perit Dial Int. 2010; 31(1):39-47. DOI: 10.3747/pdi.2009.00235. View

15.

Choi J, Lee S, Kwon H, Kwak Y, Choi S, Lim S . Clinical significance of spontaneous Aeromonas bacterial peritonitis in cirrhotic patients: a matched case-control study. Clin Infect Dis. 2008; 47(1):66-72. DOI: 10.1086/588665. View

16.

Sampaio J, Machado D, Gomes A, Machado I, Santos C, Lima N . Deciphering the Contribution of Biofilm to the Pathogenesis of Peritoneal Dialysis Infections: Characterization and Microbial Behaviour on Dialysis Fluids. PLoS One. 2016; 11(6):e0157870. PMC: 4918928. DOI: 10.1371/journal.pone.0157870. View

17.

Hisamichi M, Yokoyama T, Yazawa M, Kaneshiro N, Sakurada T, Konno Y . A rare case of peritoneal dialysis-related peritonitis caused by goldfish water tankderived Aeromonas hydrophila. Clin Nephrol. 2015; 84(1):50-4. DOI: 10.5414/CN108459. View

18.

Martins L, Marquez R, Yano T . Incidence of toxic Aeromonas isolated from food and human infection. FEMS Immunol Med Microbiol. 2002; 32(3):237-42. DOI: 10.1111/j.1574-695X.2002.tb00559.x. View

19.

Parker J, Shaw J . Aeromonas spp. clinical microbiology and disease. J Infect. 2010; 62(2):109-18. DOI: 10.1016/j.jinf.2010.12.003. View

20.

Chang C, Chen T, Chen T, Yang W, Lin C . Recurrent dialysis-associated Aeromonas hydrophila peritonitis: reports of two cases and review of the literature. Perit Dial Int. 2005; 25(5):496-9. View