Korean J Nephrol.  1999 Jan;18(1):182-185.

A Case of Agrobacterium radiobacter Peritonitis in a Patient on CAPD

• Joo MS
• Lee SW
• Kim MJ
• Kang MS
• Lee JW
• Pai SH

Abstract

Agrobacterium radiobacter is a rare human pathogen and a few cases were reported in the world. The peritoneal cavity in patient maintained on peritoneal dialysis serves as an excellent incubator and culture medium for microorganisms. We experienced a rare human infection as peritonitis with A. radiobacter in Inha University Hospital, Inchon, Korea. The patient was 36 year-old female and maintained on CAPD for one year. She had two times of CAPD peritonitis. She visited to the hospital because of turbid peritoneal fluid. On initial physical examination, she showed mild abdominal tenderness and elevated body temperature. Laboratory findings showed leukocytosis and anemia with elevated serum creatinine level. The analysis of peritoneal fluid showed white blood cell count as many as 1860/mm3 and it's culture revealed A. radiobacter. She received vancomycin and aminoglycoside antibiotics via intraperitoneal route and the CAPD catheter was removed. She was maintained on hemodialysis and reveived isepamicin 100mg a day via intravenous for 7 days. We report our experience of peritonitis caused by A. radiobacter and review the literature of similar cases of peritonitis.

Keyword

CAPD peritonitis; Agrobacterium radiobacter

MeSH Terms

Adult
Agrobacterium tumefaciens*
Agrobacterium*
Anemia
Anti-Bacterial Agents
Ascitic Fluid
Body Temperature
Catheters
Creatinine
Female
Humans
Incheon
Incubators
Korea
Leukocyte Count
Leukocytosis
Peritoneal Cavity
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory*
Peritonitis*
Physical Examination
Renal Dialysis
Vancomycin
Anti-Bacterial Agents
Creatinine
Vancomycin