{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T17:24:40Z","timestamp":1781025880575,"version":"3.54.1"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/ http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n            <jats:title>Introduction:<\/jats:title>\n            <jats:p>Peritoneal dialysis (PD) can result in peritonitis, which frequently causes severe and near-fatal clinical implications if left untreated. Usually, gram-positive bacteria are the most common organisms involved. Uncommonly recognized as the cause of peritonitis in PD patients, <jats:italic toggle=\"yes\">Neisseria elongata<\/jats:italic> is a gram-negative nasal and oropharyngeal normal flora organism.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation:<\/jats:title>\n            <jats:p>We report a rare case of a 29-year-old man who had received automated PD for 6 years and had <jats:italic toggle=\"yes\">N. elongata<\/jats:italic> peritonitis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Discussion:<\/jats:title>\n            <jats:p>Several case reports of <jats:italic toggle=\"yes\">Neisseria<\/jats:italic>-related peritonitis may point to the potential pathogenicity of such organisms and suggest that many cases of culture-negative peritonitis may have been misdiagnosed. Poor nutrition and chronic kidney disease have been suggested as potential risk factors for <jats:italic toggle=\"yes\">N. elongata<\/jats:italic> peritonitis, both of which are present in our patient. With appropriate antibiotic use, most of the cases respond well to empirical treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Although rare, <jats:italic toggle=\"yes\">N. elongata<\/jats:italic> can lead to PD catheter. peritonitis that, in some cases, require changing to hemodialysis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/ms9.0000000000000018","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T18:01:24Z","timestamp":1677780084000},"page":"175-177","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Neisseria elongata\u2013mediated peritonitis in an end-stage renal disease patient on automated peritoneal dialysis: a case report and literature review"],"prefix":"10.1097","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2820-975X","authenticated-orcid":false,"given":"Ahmed","family":"Alsayed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"El Mustafa","family":"Abdalla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bashir","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7327-3585","authenticated-orcid":false,"given":"Ahmed","family":"Hatem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"Albsheer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Elhadi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amna","family":"Makawi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,2]]},"reference":[{"key":"R1-20250806","doi-asserted-by":"crossref","first-page":"481","DOI":"10.3747\/pdi.2016.00078","article-title":"ISPD Peritonitis Recommendations: 2016 Update on Prevention and Treatment","volume":"36","author":"Li","year":"2016","journal-title":"Perit Dial Int"},{"key":"R2-20250806","doi-asserted-by":"crossref","first-page":"e933750","DOI":"10.12659\/AJCR.933750","article-title":"Case report: infective endocarditis of mechanical aortic valve due to Neisseria elongata bacteremia","volume":"23","author":"Getman","year":"2022","journal-title":"Am J Case Rep"},{"key":"R3-20250806","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1128\/jcm.30.3.719-720.1992","article-title":"Association of an important Neisseria species, Neisseria elongata subsp. nitroreducens, with bacteremia, endocarditis, and osteomyelitis","volume":"30","author":"Wong","year":"1992","journal-title":"J Clin Microbiol"},{"key":"R4-20250806","doi-asserted-by":"crossref","first-page":"816","DOI":"10.3747\/pdi.2013.00114","article-title":"Peritoneal dialysis-related peritonitis caused by Neisseria elongata subsp. 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