@article{ajmcr2018661,
author={{Bluen, Benjamin and Kiljanek, Lukasz and Krevolin, Larry and Krevolin, Kyle and Schlecht, Hans P.},
title={A Unique of <i>Rhizobium radiobacter</i> Peritoneal Dialysis Catheter-related Peritonitis from a Cat Bite},
journal={American Journal of Medical Case Reports},
volume={6},
number={6},
pages={103--105},
year={2018},
url={http://pubs.sciepub.com/ajmcr/6/6/1},
issn={2374-216X},
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 <i>Pseudomonas spp</i>. 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 <i>Staphylococcus hemolyticus and Staphylococcus capitis</i> catheter related-peritonitis with intraperitoneal Vancomycin and empiric Gentamicin, repeat peritoneal cultures were sent that demonstrated growth of <i>Rhizobium radiobacter</i>. 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.},
doi={10.12691/ajmcr-6-6-1}
publisher={Science and Education Publishing}
}