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Peritoneal‐dialysis related peritonitis caused by G ordonia species: Report of four cases and literature review
Author(s) -
Ma Terry KingWing,
Chow KaiMing,
Kwan Bonnie ChingHa,
Lee KinPing,
Leung ChiBon,
Li Philip KamTao,
Szeto CheukChun
Publication year - 2014
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.12233
Subject(s) - medicine , peritonitis , peritoneal dialysis , amikacin , vancomycin , surgery , imipenem , feline infectious peritonitis , dialysis , antibiotics , microbiology and biotechnology , disease , infectious disease (medical specialty) , genetics , antibiotic resistance , bacteria , biology , staphylococcus aureus , covid-19
Aim To investigate the clinical course and outcome of peritoneal dialysis‐associated peritonitis secondary to G ordonia species.Method We reviewed all G ordonia peritonitis episodes occurring in a single dialysis unit from 1994 to 2013. Results During the study period, four episodes of G ordonia peritonitis were recorded. All were male patients. One patient responded to vancomycin therapy. One patient had refractory peritonitis despite vancomycin, but responded to imipenem and amikacin combination therapy. One patient had relapsing peritonitis and required catheter removal. The fourth patient had an elective T enckhoff catheter exchange. No patient died of peritonitis. Causative organism was not fully identified until 7 to 18 days of peritonitis. Conclusion Gordonia species is increasingly recognized to cause serious infections. In patients undergoing peritoneal dialysis, G ordonia peritonitis should be considered in case of refractory Gram‐positive bacilli peritonitis, especially when the exact organism could not be identified one week after the onset of peritonitis. A close liaison with a microbiologist is needed for a timely diagnosis.