Korean J Med.  2018 Feb;93(1):65-67. 10.3904/kjm.2018.93.1.65.

Peritoneal Dialysis-associated Peritonitis Caused by Chryseobacterium indologenes

• Choi MW
• Oh SS
• Choi MR
• Lee JH
• Yang HJ
• Sun IO
• Lee KY

• KMID: 2435038
• DOI: http://doi.org/10.3904/kjm.2018.93.1.65

Abstract

Chryseobacterium indologenes (C. indologenes) is a nonmotile, gram-negative bacillus that is widely distributed in nature. Generally considered nonpathogenic, C. indologenes rarely infects humans and is not normally present in the human microflora. C. indologenes infections have been observed in cases of peritoneal dialysis (PD)-associated peritonitis, although the incidence of these infections is low. Although C. indologenes is generally susceptible to trimethoprim-sulfamethoxazole, levofloxacin, ciprofloxacin, piperacillin-tazobactam, and cefepime, no guidelines have been established for the treatment of PD-associated peritonitis. Here we report the first case of PD-associated peritonitis in Korea with C. indologenes identified as the sole etiologic agent. The patient recovered after intraperitoneal antibiotic treatment without the need for Tenckhoff catheter removal.

Keyword

Chryseobacterium indologenes; Peritonitis; Peritoneal dialysis; Continuous ambulatory; Catheters; Indwelling

MeSH Terms

Bacillus
Catheters
Chryseobacterium*
Ciprofloxacin
Humans
Incidence
Korea
Levofloxacin
Peritoneal Dialysis
Peritonitis*
Trimethoprim, Sulfamethoxazole Drug Combination
Ciprofloxacin
Trimethoprim, Sulfamethoxazole Drug Combination