A case of bacterial peritonitis caused by Roseomonas mucosa in a patient undergoing continuous ambulatory peritoneal dialysis

CEN Case Reports
Yuta MatsukumaHarumichi Higashi

Abstract

Bacterial peritonitis remains a life-threatening complication of peritoneal dialysis (PD). Roseomonas is a bacterial genus of pink-pigmented, oxidized, gram-negative coccobacilli that was first named in 1993. Importantly, Roseomonas mucosa exhibits antibiotic resistance, with significant resistance to cephalosporin, which is often selected as an empirical antibiotic regimen for peritonitis in PD patients. We herein report the case of a PD patient with bacterial peritonitis caused by Roseomonas mucosa that was fortunately identified using 16S rRNA gene sequencing and successfully treated with ciprofloxacin. Given that Roseomonas demonstrates resistance to a variety of antibiotics. The administration of empiric antibiotic therapy based on the recommendation of the International Society of Peritoneal Dialysis guidelines occasionally fails, leading to the aggravation of bacterial peritonitis. Hence, nephrologists should consider Roseomonas as one of the potential causative organisms of peritonitis, especially when gram-negative bacilli are resistant to cephalosporin and cannot be identified using standard laboratory methods.

References

Dec 1, 1993·Journal of Clinical Microbiology·J D RihsV L Yu
Nov 25, 2003·Seminars in Dialysis·Laura TroidleFredric O Finkelstein
May 25, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Indra DéXiang Y Han
Jun 11, 2010·Journal of Clinical Microbiology·J Dien BardM A Lewinski
Jul 16, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Philip Kam-Tao LiUNKNOWN International Society for Peritoneal Dialysis

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