Peritonitis Associated with Vancomycin-Resistant Lactobacillus rhamnosus in a Continuous Ambulatory Peritoneal Dialysis Patient: Organism Identification, Antibiotic Therapy, and Case Report
You can manage bookmarks using lists, please log in to your user account for this.
Media type:
E-Article
Title:
Peritonitis Associated with Vancomycin-Resistant Lactobacillus rhamnosus in a Continuous Ambulatory Peritoneal Dialysis Patient: Organism Identification, Antibiotic Therapy, and Case Report
Description:
<jats:title>ABSTRACT</jats:title>
<jats:p>
A case of
<jats:italic>Lactobacillus rhamnosus</jats:italic>
-associated peritonitis in a patient undergoing continuous ambulatory peritoneal dialysis is reported. The patient was treated with vancomycin after isolation of glycopeptide-susceptible coagulase-negative staphylococci. After a skin rash developed, vancomycin was discontinued and replaced with teicoplanin. Seven weeks after the glycopeptide therapy was discontinued, a
<jats:italic>Lactobacillus</jats:italic>
strain was isolated in pure cultures. The isolate was identified first incorrectly as
<jats:italic>L. acidophilus</jats:italic>
but later correctly as
<jats:italic>L. rhamnosus</jats:italic>
. Antibiotic susceptibility testing showed that the isolate was resistant to glycopeptides but susceptible to several other antibiotics. The antibiotic treatment was then switched to imipenem and was successful.
</jats:p>