Spontaneous Bacterial Peritonitis Due to Bacillus licheniformis in an Autosomal Dominant Polycystic Kidney Disease Patient on Peritoneal Dialysis: A Rare Presentation Linked to Avian Exposure
Year: 2024
Type: article
Study design: Case Report
Abstract: This case report details a rare instance of Bacillus licheniformis-induced peritonitis in a 43-year-old male diagnosed with autosomal dominant polycystic kidney disease (ADPKD) undergoing peritoneal dialysis (PD). The patient presented with acute onset of severe abdominal pain and fever, prompting a microbiological investigation that revealed Gram-positive bacilli. Initial empirical treatment with ceftazidime and vancomycin was followed by targeted vancomycin therapy upon identification of B. licheniformis. The patient's clinical course showed steady improvement, corroborated by a recent history of avian contact. This case underscores the critical consideration of uncommon pathogens and environmental exposures in managing peritonitis among peritoneal dialysis patients.
Source: Cureus
DOI: 10.7759/cureus.68468
Authors: Jawad Atrash, Ahmed Kahla, Nabil CN Khalil
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4402126537