BMC infectious diseases · 2026
A case of peritoneal dialysis-associated peritonitis caused by Rhodococcus pyridinivorans.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Lei Wenjuan, Yang Chuishun, Yang Zhen, Cai Xingli, Zhou Jun
Аннотация
BACKGROUND: Rhodococcus infections are exceedingly rare and largely reported in immunocompromised hosts, with no consensus on optimal therapy due to limited evidence.
CASE PRESENTATION: This article reports for the first time a case of peritoneal dialysis-associated peritonitis caused by Rhodococcus pyridinivorans in a patient with diabetic nephropathy. The dialysate leukocyte count declined substantially with combination antimicrobial therapy, but complete normalization occurred only after replacing icodextrin with a glucose-based dialysate.
CONCLUSIONS: These findings support the use of combination regimens and emphasize the need to consider icodextrin-associated sterile peritonitis when dialysate abnormalities persist despite appropriate antimicrobial treatment.
CASE PRESENTATION: This article reports for the first time a case of peritoneal dialysis-associated peritonitis caused by Rhodococcus pyridinivorans in a patient with diabetic nephropathy. The dialysate leukocyte count declined substantially with combination antimicrobial therapy, but complete normalization occurred only after replacing icodextrin with a glucose-based dialysate.
CONCLUSIONS: These findings support the use of combination regimens and emphasize the need to consider icodextrin-associated sterile peritonitis when dialysate abnormalities persist despite appropriate antimicrobial treatment.