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3. Successful Treatment of PD Peritonitis Due to Morganella morganii Resistant to Third-Generation Cephalosporins - A Case Report.

Author

Keskar V, Biyani M, Amin SO, and Knoll G

Subjects
Academic Medical Centers, Administration, Oral, Cephalosporins administration & dosage, Drug Resistance, Microbial, Drug Therapy, Combination, Enterobacteriaceae Infections diagnosis, Female, Follow-Up Studies, Humans, Infusions, Parenteral, Kidney Failure, Chronic diagnosis, Kidney Failure, Chronic therapy, Middle Aged, Morganella morganii drug effects, Morganella morganii isolation & purification, Peritoneal Dialysis methods, Peritonitis etiology, Treatment Outcome, Ciprofloxacin administration & dosage, Enterobacteriaceae Infections drug therapy, Peritoneal Dialysis adverse effects, Peritonitis drug therapy, Peritonitis microbiology, Tobramycin administration & dosage
Abstract

Morganella morganii is a rare cause of peritonitis in patients on peritoneal dialysis (PD). Most of the reported cases have resorted to a switch to hemodialysis. We herein report a case of peritonitis due to M. morganii resistant to third-generation cephalosporins, which was treated successfully with intraperitoneal (IP) tobramycin followed by oral ciprofloxacin. Early microbiologic diagnosis is essential in the treatment of peritonitis from rare microorganisms such as Morganella morganii , and appropriate antibiotic therapy is the key to avoiding catheter loss and subsequent switch to hemodialysis., (Copyright © 2017 International Society for Peritoneal Dialysis.)

Published
2017
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