{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:47:37Z","timestamp":1783745257547,"version":"3.55.0"},"reference-count":11,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,2,21]]},"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:p>Peritonitis remains a common and serious complication of peritoneal dialysis. Peritonitis caused by gram-positive organisms includes coagulase-negative staphylococci, <jats:italic>Streptococcus<\/jats:italic> spp and <jats:italic>Enterococcus<\/jats:italic> spp. We present a rare case of peritoneal dialysis-associated peritonitis, where persisting abdominal pain and worsening laboratory findings despite antibiotic therapy led to the identification of <jats:italic>Enterococcus avium<\/jats:italic>, requiring Tenckoff catheter removal and temporary transfer to haemodialysis. The available literature reports only few cases where peritonitis is caused by this agent, underlining the need to consider atypical microbial agents when heterogeneous clinical course is presented.<\/jats:p>","DOI":"10.1136\/bcr-2020-240272","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T12:49:03Z","timestamp":1616590143000},"page":"e240272","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Peritoneal dialysis-associated peritonitis caused by <i>Enterococcus avium<\/i>"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8960-2363","authenticated-orcid":false,"given":"Rita","family":"Cal\u00e7a","sequence":"first","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, Carnaxide, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3377-2368","authenticated-orcid":false,"given":"Francisca","family":"Gomes da Silva","sequence":"additional","affiliation":[{"name":"Nephrology Department, Hospital Doutor N\u00e9lio Mendon\u00e7a, Funchal, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Rita","family":"Martins","sequence":"additional","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, Carnaxide, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patr\u00edcia Quadros","family":"Branco","sequence":"additional","affiliation":[{"name":"Nephrology Department, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, Carnaxide, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"key":"2025082801532978000_14.3.e240272.1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00078"},{"key":"2025082801532978000_14.3.e240272.2","unstructured":"Burkart JM . Microbiology and therapy of peritonitis in continuous peritoneal dialysis. Uptodate, 2019: 1\u201322."},{"key":"2025082801532978000_14.3.e240272.3","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00630117"},{"key":"2025082801532978000_14.3.e240272.4","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2012.00166"},{"key":"2025082801532978000_14.3.e240272.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-011-1311-1"},{"key":"2025082801532978000_14.3.e240272.6","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/17.6.1006"},{"key":"2025082801532978000_14.3.e240272.7","first-page":"10","article-title":"Peritonitis from anaerobic gram-positive cocci likely due to translocation of bacteria from gut in a patient undergoing peritoneal dialysis","volume":"11","author":"Adapa","year":"2019","journal-title":"Cureus"},{"key":"2025082801532978000_14.3.e240272.8","doi-asserted-by":"publisher","DOI":"10.1186\/s13099-019-0304-y"},{"key":"2025082801532978000_14.3.e240272.9","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2012.00241"},{"key":"2025082801532978000_14.3.e240272.10","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2009.00260"},{"key":"2025082801532978000_14.3.e240272.11","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfp641"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-240272","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:53:36Z","timestamp":1756371216000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-240272"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,3,24]]},"published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1136\/bcr-2020-240272"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-240272","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3]]}}}