Yeungnam Univ J Med.  2013 Dec;30(2):109-111.

A Case of Continuous Ambulatory Peritonitis Dialysis Peritonitis Due to Stenotrophomonas maltophilia Using Antibiotic Combination

• Ko HS
• Choi AR
• Kim TH
• Kyung CH
• Cho JH
• Kim YH
• Lee JE

Abstract

Continuous ambulatory peritoneal dialysis (CAPD) peritonitis is a major complication of peritoneal dialysis (PD) and leads to the discontinuation of PD. Despite its limited pathogenicity, CAPD peritonitis caused by Stenotrophomonas maltophilia (S. maltophilia), an important nosocomial pathogen that is present in nature and is usually associated with plastic indwelling devices. Infection of S. maltophilia is associated with a poor prognosis, including inability to maintain the CAPD catheter, because of its resistance to multiple antibiotics. We report a case of CAPD peritonitis due to S. maltophilia that was treated successfully using oral Trimethoprim-sulfame-thoxazole and intraperitoneal Ticarcillin/clavulanate without removing the dialysis catheter.

Keyword

Stenotrophomonas maltophilia; Peritoneal dialysis; Peritonitis

MeSH Terms

Anti-Bacterial Agents
Catheters
Dialysis*
Peritoneal Dialysis
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis*
Plastics
Prognosis
Stenotrophomonas maltophilia*
Stenotrophomonas*
Virulence
Anti-Bacterial Agents
Plastics