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A case of peritoneal dialysis-associated peritonitis by Rothia mucilaginosa.

Kim BG, Cho AY, Kim SS, Lee SH, Shin HS, Yoon HJ, Kim JG, Sun IO, Lee KY - Kidney Res Clin Pract (2015)

Bottom Line: Rothia muciliaginosa (R. mucilaginosa) is a facultative, Gram-positive coccus that is considered to be part of the normal flora of the mouth and respiratory tract.There are sporadic reports of the organism causing endocarditis in patients with heart valve abnormalities, as well as meningitis, septicemia, and pneumonia associated with intravenous drug abuse.Although R. mucilaginosa is generally susceptible to penicillin, ampicillin, cefotaxime, imipenem, rifampicin, and glycopeptides, there are no guidelines for the treatment of PD-associated peritonitis.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.

ABSTRACT
Rothia muciliaginosa (R. mucilaginosa) is a facultative, Gram-positive coccus that is considered to be part of the normal flora of the mouth and respiratory tract. There are sporadic reports of the organism causing endocarditis in patients with heart valve abnormalities, as well as meningitis, septicemia, and pneumonia associated with intravenous drug abuse. However, it is an unusual pathogen in cases of peritoneal dialysis (PD)-associated peritonitis. Although R. mucilaginosa is generally susceptible to penicillin, ampicillin, cefotaxime, imipenem, rifampicin, and glycopeptides, there are no guidelines for the treatment of PD-associated peritonitis. Herein, we report a case of PD-associated peritonitis due to R. mucilaginosa that was resolved with intraperitoneal antibiotic treatment.

No MeSH data available.


Related in: MedlinePlus

Chest computed tomography scan. The arrow indicates a malignant bone tumor, such as chondrosarcoma or osteogenic sarcoma, with an accompanying pathologic fracture on the left clavicle.
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f0010: Chest computed tomography scan. The arrow indicates a malignant bone tumor, such as chondrosarcoma or osteogenic sarcoma, with an accompanying pathologic fracture on the left clavicle.

Mentions: During the admission period, the patient presented with a painful mass anteriorly over his left clavicle. X-ray showed a poorly defined, surface-based lesion arising from the proximal shaft of the left clavicle. Computed tomography scan revealed osteolytic bony destruction and soft tissue mass formation suggesting a malignant bone tumor, such as a chondrosarcoma or osteogenic sarcoma with pathologic fracture in the proximal portion of the left clavicle (Fig. 2). Although we recommended further workup and an operation, he refused.


A case of peritoneal dialysis-associated peritonitis by Rothia mucilaginosa.

Kim BG, Cho AY, Kim SS, Lee SH, Shin HS, Yoon HJ, Kim JG, Sun IO, Lee KY - Kidney Res Clin Pract (2015)

Chest computed tomography scan. The arrow indicates a malignant bone tumor, such as chondrosarcoma or osteogenic sarcoma, with an accompanying pathologic fracture on the left clavicle.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4608873&req=5

f0010: Chest computed tomography scan. The arrow indicates a malignant bone tumor, such as chondrosarcoma or osteogenic sarcoma, with an accompanying pathologic fracture on the left clavicle.
Mentions: During the admission period, the patient presented with a painful mass anteriorly over his left clavicle. X-ray showed a poorly defined, surface-based lesion arising from the proximal shaft of the left clavicle. Computed tomography scan revealed osteolytic bony destruction and soft tissue mass formation suggesting a malignant bone tumor, such as a chondrosarcoma or osteogenic sarcoma with pathologic fracture in the proximal portion of the left clavicle (Fig. 2). Although we recommended further workup and an operation, he refused.

Bottom Line: Rothia muciliaginosa (R. mucilaginosa) is a facultative, Gram-positive coccus that is considered to be part of the normal flora of the mouth and respiratory tract.There are sporadic reports of the organism causing endocarditis in patients with heart valve abnormalities, as well as meningitis, septicemia, and pneumonia associated with intravenous drug abuse.Although R. mucilaginosa is generally susceptible to penicillin, ampicillin, cefotaxime, imipenem, rifampicin, and glycopeptides, there are no guidelines for the treatment of PD-associated peritonitis.

View Article: PubMed Central - PubMed

Affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.

ABSTRACT
Rothia muciliaginosa (R. mucilaginosa) is a facultative, Gram-positive coccus that is considered to be part of the normal flora of the mouth and respiratory tract. There are sporadic reports of the organism causing endocarditis in patients with heart valve abnormalities, as well as meningitis, septicemia, and pneumonia associated with intravenous drug abuse. However, it is an unusual pathogen in cases of peritoneal dialysis (PD)-associated peritonitis. Although R. mucilaginosa is generally susceptible to penicillin, ampicillin, cefotaxime, imipenem, rifampicin, and glycopeptides, there are no guidelines for the treatment of PD-associated peritonitis. Herein, we report a case of PD-associated peritonitis due to R. mucilaginosa that was resolved with intraperitoneal antibiotic treatment.

No MeSH data available.


Related in: MedlinePlus