Peritonitis due to Neisseria mucosa in an adolescent receiving peritoneal dialysis

A. K. Shetty, S. K. Nagaraj, W. B. Lorentz, M. Bitzan

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Neisseria mucosa is part of the normal nasopharyngeal flora and rarely pathogenic in humans. Reports of serious infections associated with this pathogen are very unusual. A 17-year-old boy with end-stage renal disease due to IgA nephropathy presented with acute, spontaneous, symptomatic peritoneal, dialysis-associated peritonitis without reported break in sterility or PD catheter exit site infection. β-lactamase-negative N. mucosa was isolated from the dialysate effluent. Intraperitoneal antibiotic treatment with cephalothin/gentamicin for 5 days and subsequent ceftriaxone led to complete resolution of the infection. This case demonstrates that "non- pathogenic" Neisseria species can cause clinically severe peritonitis with high intraperitoneal neutrophil counts, elevated C-reactive protein levels in the peritoneal effluent (in the presented case, 27,600/μl and 3.6 mg/l, respectively) and impaired peritoneal membrane transport function. To our knowledge, this is the first case of N. mucosa peritonitis complicating chronic peritoneal dialysis in an adolescent patient.

Original languageEnglish
Pages (from-to)390-392
Number of pages3
JournalInfection
Volume33
Issue number5-6
DOIs
Publication statusPublished - 01-10-2005
Externally publishedYes

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Neisseria mucosa
Peritoneal Dialysis
Peritonitis
Infection
Neisseria
Cephalothin
Ceftriaxone
Dialysis Solutions
Gentamicins
C-Reactive Protein
Immunoglobulin A
Infertility
Chronic Kidney Failure
Neutrophils
Catheters
Anti-Bacterial Agents
Membranes

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Immunology

Cite this

Shetty, A. K., Nagaraj, S. K., Lorentz, W. B., & Bitzan, M. (2005). Peritonitis due to Neisseria mucosa in an adolescent receiving peritoneal dialysis. Infection, 33(5-6), 390-392. https://doi.org/10.1007/s15010-005-5074-4
Shetty, A. K. ; Nagaraj, S. K. ; Lorentz, W. B. ; Bitzan, M. / Peritonitis due to Neisseria mucosa in an adolescent receiving peritoneal dialysis. In: Infection. 2005 ; Vol. 33, No. 5-6. pp. 390-392.
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Shetty, AK, Nagaraj, SK, Lorentz, WB & Bitzan, M 2005, 'Peritonitis due to Neisseria mucosa in an adolescent receiving peritoneal dialysis', Infection, vol. 33, no. 5-6, pp. 390-392. https://doi.org/10.1007/s15010-005-5074-4

Peritonitis due to Neisseria mucosa in an adolescent receiving peritoneal dialysis. / Shetty, A. K.; Nagaraj, S. K.; Lorentz, W. B.; Bitzan, M.

In: Infection, Vol. 33, No. 5-6, 01.10.2005, p. 390-392.

Research output: Contribution to journalArticle

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