American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Medical Case Reports. 2018, 6(6), 103-105
DOI: 10.12691/ajmcr-6-6-1
Open AccessCase 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

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

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/

Figures

Figure of 3

References:

[1]  Young JM, Kuykendall LD, Martinez-Romero E, Kerr A, Sawada H. A revision of Rhizobium Frank 1889, with an emended description of the genus, and the inclusion of all species of Agrobacterium Conn 1942 and Allorhizobium undicola de Lajudie et al. 1998 as new combinations: Rhizobium radiobacter, R. rhizogenes, R. rubi, R. undicola and R. vitis. Int J Syst Eval Microbiol. 2001 Jan; 51(Pt 1): 89-103.
 
[2]  Edmond MB, Riddler SA, Baxter CM, Wicklund BM, Pasculle AW. Agrobacterium radiobacter: A Recently Recognized Opportunistic Pathogen. Clin Infect Dis. (1993) 16 (3): 388-391.
 
[3]  Plotkin GR. Agrobacterium radiobacter prosthetic valve endocarditis. Ann Intern Med 1980; 93: 839-40.
 
[4]  Lai CC, Teng LJ, Hsueh PR, Yuan A, Tsai KC, Tang JL, Tien HF. Clinical and Microbiological Characteristics of Rhizobium radiobacter Infections. Clin Infect Dis. (2004) 38 (1): 149-153.
 
[5]  Blumberg DA, Cherry JD. Agrobacterium radiobacter and CDC group Ve-2 bacteremia. Diagn Microbiol Infect Dis. 1989 Jul-Aug; 12(4): 351-5.
 
[6]  Tsai SF. Rhizobium Radiobacter Peritonitis Revisited: Catheter removal Is Not Mandatory. Perit Dial Int May-June 2013vol. 33 no. 3 331-332.
 
[7]  Pereira LA, Chan DSG, Ng MT, Lin R, Jureen R, Fisher DA, Tambyah P. Pseudo-Outbreak of Rhizobium radiobacter Infection Resulting from Laboratory Contamination of Saline Solution. J. Clin. Microbiol. July 2009 vol. 47. no. 7. 2256-2259.
 
[8]  Ellis R, Ellis C. Dog and Cat Bites. Am Fam Physician. 2014 Aug 15; 90(4): 239-243.
 
[9]  Poliquin PG, Lagace-Wiens P, Verrelli M, Allen DW, Embil JM. Pasteurella species peritoneal dialysis-associated peritonitis: Household pets as a risk factor. Can J Infect Dis Med Microbiol. 2015 Jan-Feb; 26(1): 52-55.
 
[10]  Li PKTM et al. ISPD Peritonitis Recommendations: 2016 Update On Prevention And Treatment. Perit Dial Int 2016pdi.2016.00078.
 
[11]  Griego RD, Rosen T, Orengo IF, Wolf JE. Dog, cat, and human bites: A review. J Am Acad Dermatol 1995 Dec; 33(6): 1019-29.