A case of peritoneal dialysis-associated peritonitis by Rothia mucilaginosa

• Published in: Kidney research and clinical practice Vol. 34; no. 3; pp. 185 - 187
• Main Authors: Kim, Byeong Gwan, Cho, A Young, Kim, Sang Sun, Lee, Seong Hee, Shin, Hong Shik, Yoon, Hyun Ju, Kim, Jeong Gwan, Sun, In O, Lee, Kwang Young
• Format: Journal Article
• Language: English
• Published: Korea (South) Elsevier B.V 01.09.2015; Elsevier; The Korean Society of Nephrology; 대한신장학회
• Subjects: Case Report; Continuous ambulatory peritoneal dialysis; Nephrology; Peritonitis; Rothia mucilaginosa; 내과학; Rothia mucilaginosa; Continuous ambulatory peritoneal dialysis; Peritonitis
• ISSN: 2211-9132; 2211-9140
• DOI: 10.1016/j.krcp.2015.02.005

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.