A case of recurrent peritoneal dialysis-related peritonitis caused by Stenotrophomonas maltophilia during ongoing antibiotic treatment for Enterococcus faecalis-induced peritonitis.

Jun Takami, Yuta Nakano, Eriko Harada, Shota Nakakuma, Ryosuke Kawamoto, Kayoko Matsukawa

Abstract readCase Reports

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Article in CEN case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Jun TakamiDepartment of Nephrology, Ome Medical Center, 4-16-5 Higasiome, Ome, Tokyo, 198-0042, Japan.

Yuta NakanoDepartment of Nephrology, Ome Medical Center, 4-16-5 Higasiome, Ome, Tokyo, 198-0042, Japan.

Eriko HaradaDepartment of Nephrology, Ome Medical Center, 4-16-5 Higasiome, Ome, Tokyo, 198-0042, Japan.

Shota NakakumaDepartment of Nephrology, Ome Medical Center, 4-16-5 Higasiome, Ome, Tokyo, 198-0042, Japan.

Ryosuke KawamotoDepartment of Nephrology, Ome Medical Center, 4-16-5 Higasiome, Ome, Tokyo, 198-0042, Japan. kawamoto@kwmt.sakura.ne.jp.ORCID 0009-0007-7006-130X

Kayoko MatsukawaDepartment of Nephrology, Ome Medical Center, 4-16-5 Higasiome, Ome, Tokyo, 198-0042, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recurrent peritonitis is a serious complication of peritoneal dialysis (PD), which could result in PD withdrawal and mortality. However, cases of recurrent peritonitis occurring during ongoing antimicrobial therapy are rarely reported. Herein, we present a 71-year-old man who experienced initial peritonitis due to Enterococcus faecalis. Despite effective antimicrobial therapy, he developed recurrent peritonitis while on antimicrobial therapy. PD fluid culture analysis yielded Stenotrophomonas maltophilia (S. maltophilia). He was treated with multiple antimicrobials, and the peritoneal catheter was removed. To the best of our knowledge, this is the first case of recurrent peritonitis caused by S. maltophilia, which was developed during antimicrobial treatment. Our report findings suggest the importance of considering S. maltophilia infection in an atypical case of very early recurrent peritonitis.

Indexed as

Anti-Bacterial AgentsGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsPeritoneal DialysisPeritonitisStenotrophomonas maltophiliaAgedEnterococcus faecalisHumansMaleRecurrenceAnti-Bacterial AgentsPeritoneal dialysisPeritonitisStenotrophomonas maltophilia

Identifiers

PMID38954394

DOI10.1007/s13730-024-00909-8

PMCPMC11785835

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