Treating Acinetobacter lwoffi peritonitis in a patient undergoing peritoneal dialysis

Abstract

Acinetobacter spp are increasingly recognized as an important cause of nosocomial infections, especially in relation with indwelling catheters. They are ubiquitous, gram negative bacilli, being normally found on the skin and oropharynx and are notorious for their broad antimicrobial resistance pattern.

Only a few cases of peritoneal dialysis-associated Acinetobacter lwoffi peritonitis have been reported with most of the affected patients being diabetic and/or immunosuppressed. Literature concerning the management of non-pseudomonas gram negative peritonitis is scarce.

We describe a case of a sixty-six year old gentleman with end stage kidney disease due to autosomal dominant polycystic kidney disease on Automated Peritoneal Dialysis who was successfully treated for Acinetobacter lwoffi peritonitis.

The patient did very well, did not require hospital admission and the peritoneal catheter remained in-situ.