Abstract
We report a case of Campylobacter coli peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD).
A 55-year-old man who had been undergoing CAPD since 1982 was admitted to our hospital with abdominal pain and diarrhea. The CAPD dialysate fluid was cloudy with 246WBC/μl. Vancomycin and cefoperazone were administered intraperitoneally for an initial period of 5 days, but the peritonitis did not improve. The patient was then treated with intravenous imipenem/cilastatin for 5 days. He responded to this second treatment, and norfloxacin was added for the next 20 days. Culture of the initial dialysate was positive for Campylobacter coli. The peritonitis recurred on day 31. Treatment was changed to intraperitoneal ceftazidime, 1.0g, and fosfomycin, 1.0g, daily for 7 days, and the peritonitis completely resolved. The patient was then given 400mg of clarithromycin and 750mg of ampicillin daily, and no new episode of peritonitis occurred.
