Relapsing Peritonitis Caused by Bordetella bronchiseptica in Continuous Ambulatory Peritoneal Dialysis Patient: A Case Report

• Published in: Journal of Korean medical science Vol. 24; no. Suppl 1; pp. S215 - S218
• Main Authors: Won, Ki-Bum, Ha, Gyoung-Yim, Kim, Joon-Seup, Kang, Hyeock-Joo, Tak, Woo-Taek, Lee, Jeong-Ho
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Medical Sciences 2009; 대한의학회
• Subjects: Anti-Bacterial Agents - pharmacology; Anti-Bacterial Agents - therapeutic use; Bordetella bronchiseptica - metabolism; Bordetella Infections - diagnosis; Bordetella Infections - microbiology; Case Report; Fibrosis; Humans; Male; Middle Aged; Peritoneal Dialysis, Continuous Ambulatory - methods; Peritoneum - pathology; Peritonitis - microbiology; Recurrence; Renal Insufficiency - microbiology; 의학일반; Bordetella Bronchiseptica; Peritonitis; Peritoneal Dialysis, Continuous Ambulatory
• ISSN: 1011-8934; 1598-6357
• DOI: 10.3346/jkms.2009.24.S1.S215

Bordetella (B) bronchiseptica is a common veterinary pathogen, but has rarely been implicated in human infections. Most patients with B. bronchiseptica infections are compromised clinically such as in patients with a malignancy, AIDS, malnutrition, or chronic renal failure. We experienced a case of relapsing peritonitis caused by B. bronchiseptica associated with continuous ambulatory peritoneal dialysis (CAPD). A 56-yr-old male, treated with CAPD due to end stage renal disease (ESRD), was admitted with complaints of abdominal pain and a turbid peritoneal dialysate. The culture of peritoneal dialysate identified B. bronchiseptica. The patient was treated with a combination of intraperitoneal antibiotics. There were two further episodes of relapsing peritonitis, although the organism was sensitive to the used antibiotics. Finally, the indwelling CAPD catheter was removed and the patient was started on hemodialysis. This is the first report of a B. bronchiseptica human infection in the Korean literature.