Simple Search:

Enterobacter gergoviae peritonitis in a patient on chronic ambulatory peritoneal dialysis - first reported case


Citation

Abdul Rashid, Anna Misya'il and Lim, Christopher Thiam Seong (2017) Enterobacter gergoviae peritonitis in a patient on chronic ambulatory peritoneal dialysis - first reported case. Malaysian Journal of Medicine and Health Sciences, 13 (2). pp. 67-69. ISSN 1675-8544

Abstract / Synopsis

Enterobacter gergoviae is a gram negative rod-shaped opportunistic organism reported to cause urinary and respiratory tract infections, but peritonitis caused by this organism is unknown. We report a case of 50-year-old patient on peritoneal dialysis (PD) presented with Enterobacter gergoviae peritonitis with septic shock. Despite Intraperitoneal (IP) cloxacillin 250mg qid and IP ceftazidime 1gram q24h and subsequent escalation with IP amikacin 2mg/kg q24h and IP vancomycin 15mg/kg q24h within the next 48 hours, his peritonitis remained refractory and required catheter removal. Although Enterobacter gergoviae is naturally sensitive to aminoglycosides, carbapenems and quinolones, it reacts differently to the beta lactam antibiotics. Their resistance to third-generation cephalosporins is fast emerging and treatment with third-generation cephalosporins may cause AmpC-overproducing mutants. The majority of Enterobacteriaceae, including Extended-spectrum beta-lactamases producers, remain susceptible to carbapenems. Our report provides an unfavourable course of E. gergoviae peritonitis likely due to acquired secondary drug resistance during the therapy period.


Download File

[img]
Preview
PDF
2017082916110609_MJMHS_Vol13_No2_2017_-_0003_-_3rd_proof.pdf

Download (62kB) | Preview

Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
Publisher: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
Keywords: Enterobacter gergoviae; Peritonitis; Peritoneal dialysis
Depositing User: Nabilah Mustapa
Date Deposited: 05 Jan 2018 11:58
Last Modified: 26 Jan 2018 17:38
URI: http://psasir.upm.edu.my/id/eprint/58286
Statistic Details: View Download Statistic

Actions (login required)

View Item View Item