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J Med Microbiol 57 (2008), 125-127; DOI: 10.1099/jmm.0.47441-0
© 2008 Society for General Microbiology
ISSN 1473-5644

Case Report

Citrobacter freundii peritonitis and tunnel infection in a patient on continuous ambulatory peritoneal dialysis

Erkan Dervisoglu1, Zeki Yumuk2 and Itir Yegenaga1

1 Department of Internal Medicine, Division of Nephrology, School of Medicine, Kocaeli University, Kocaeli 41380, Turkey

2 Department of Clinical Microbiology, School of Medicine, Kocaeli University, Kocaeli 41380, Turkey

Correspondence
Erkan Dervisoglu
dervisoglue{at}yahoo.com

Received 11 June 2007
Accepted 21 September 2007

The clinical course of a patient on continuous ambulatory peritoneal dialysis who developed peritonitis and tunnel infection due to an unusual pathogen, Citrobacter freundii, is described. The patient did not respond well to antibiogram-based therapy (intravenous meropenem and intraperitoneal gentamicin) and removal of the catheter was required.

Abbreviations: CAPD, continuous ambulatory peritoneal dialysis; ESBL, extended-spectrum β-lactamase; i.p., intraperitoneal; i.v., intravenous.






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