Ahmad M, Krishnan A, Kelman E, Allen V, Bargman JM. Listeria monocytogenes peritonitis in a patient on peritoneal dialysis: a case report and review of the literature.
Int Urol Nephrol 2008;
40:815-9. [PMID:
18563614 DOI:
10.1007/s11255-008-9411-2]
[Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2008] [Accepted: 05/28/2008] [Indexed: 11/24/2022]
Abstract
Listeria monocytogenes (LM) is one of the rare microorganisms causing peritonitis in peritoneal dialysis (PD) patients. We report a sporadic case of peritonitis caused by LM in a young female PD patient with lupus receiving corticosteroid therapy, who presented with abdominal pain, cloudy PD effluent, nausea, and conjunctivitis. The effluent showed a high PD effluent white cell count and monocytosis, and gram staining showed gram-positive bacilli in single or short chains and PD effluent culture grew LM. She was treated successfully with beta lactum antibiotics. LM peritonitis should be suspected if a patient presents with gram-positive bacilli and monocytosis in dialysis effluent.
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