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American Journal of Medical Case Reports. 2018, 6(6), 103-105
DOI: 10.12691/AJMCR-6-6-1
Case Report

A Unique of Rhizobium radiobacter Peritoneal Dialysis Catheter-related Peritonitis from a Cat Bite

Benjamin Bluen1, , Lukasz Kiljanek2, Larry Krevolin2, Kyle Krevolin3 and Hans P. Schlecht1

1Drexel University College of Medicine, Division of Infectious Disease and HIV Medicine, Hahnemann University Hospital, Philadelphia PA 19102

2Drexel University College of Medicine, Division of Nephrology, Hahnemann University Hospital, Philadelphia PA 19102

3Division of Clinical Microbiology, Hahnemann University Hospital, Philadelphia PA 19102

Pub. Date: July 03, 2018
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Cite this paper

Benjamin Bluen, Lukasz Kiljanek, Larry Krevolin, Kyle Krevolin and Hans P. Schlecht. A Unique of Rhizobium radiobacter Peritoneal Dialysis Catheter-related Peritonitis from a Cat Bite. American Journal of Medical Case Reports. 2018; 6(6):103-105. doi: 10.12691/AJMCR-6-6-1

Abstract

Peritoneal dialysis catheter-related peritonitis is typically related to catheter insertion or hygiene. Organisms usually manifest as gram positive organisms typically Staphylococci or gram negative bacilli that typically colonize aqueous environments such as Pseudomonas spp. as well as other unusual mycobacterial or fungal pathogens. The authors present a unique case of peritoneal dialysis catheter-related peritonitis manifesting after the patient’s cat bit the proximal aspect of the catheter attachment tubing. After failure to clinically improve after outpatient treatment of Staphylococcus hemolyticus and Staphylococcus capitis catheter related-peritonitis with intraperitoneal Vancomycin and empiric Gentamicin, repeat peritoneal cultures were sent that demonstrated growth of Rhizobium radiobacter. The patient was admitted inpatient and treatment was tailored to intraperitoneal Cefepime with clearance of peritoneal cultures and rapid improvement in peritoneal white blood cell count and the patient’s clinical condition. The patient was subsequently discharged on oral Ciprofloxacin with complete recovery and catheter salvage.

Keywords

peritoneal dialysis, Rhizobium radiobacter, peritonitis, intraperitoneal, sensitivity

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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