Peritoneal Dialysis-Related Peritonitis from Carbapenemase-Producing Klebsiella pneumoniae with OXA-48 Type Gene

Perit Dial Int. 2019 Jan-Feb;39(1):97-98. doi: 10.3747/pdi.2018.00234.

Abstract

We report a rare case of carbapenemase-producing enterobacte-riaceae peritonitis in a patient undergoing automated peritoneal dialysis (APD). The PD catheter had to be removed as the patient remained unwell despite antibiotics. Antimicrobial resistance in PD peritonitis is a concern in this era of multi-drug resistant bacteria.

Keywords: CPE; antimicrobial resistance.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Bacterial Proteins
  • Catheter-Related Infections / drug therapy
  • Catheter-Related Infections / microbiology*
  • Female
  • Humans
  • Klebsiella Infections / drug therapy
  • Klebsiella Infections / microbiology*
  • Klebsiella pneumoniae / genetics
  • Klebsiella pneumoniae / isolation & purification*
  • Meropenem / therapeutic use
  • Peritoneal Dialysis / adverse effects*
  • Peritonitis / microbiology*
  • beta-Lactamases / genetics

Substances

  • Anti-Bacterial Agents
  • Bacterial Proteins
  • beta-Lactamases
  • carbapenemase
  • oxacillinase
  • Meropenem