{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:55:28Z","timestamp":1790470528819,"version":"4.1.0"},"reference-count":72,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T00:00:00Z","timestamp":1579132800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2020,1,16]]},"abstract":"<jats:p><jats:italic>Introduction. Achromobacter<\/jats:italic>species (spp.) peritonitis has seldom been identified in medical literature. Scarce cases of<jats:italic>Achromobacter<\/jats:italic>peritonitis described previously have been correlated with peritoneal dialysis and more sparingly with spontaneous bacterial peritonitis.<jats:italic>Achromobacter<\/jats:italic>exhibits intrinsic and acquired resistance, especially in chronic infections, to most antibiotics. This article conducts a literature review of all previously reported<jats:italic>Achromobacter<\/jats:italic>spp. peritonitis and describes the first reported case of<jats:italic>Achromobacter<\/jats:italic>peritonitis as a complication of percutaneous endoscopic gastrostomy (PEG) tube placement.<jats:italic>Discussion.<\/jats:italic><jats:italic>Achromobacter<\/jats:italic>peritonitis as a complication of PEG-tube placement has not been previously reported. In our patients\u2019 case, the recently placed PEG-tube with ascitic fluid leakage was identified as the most plausible infection source. Although a rare bacterial peritonitis pathogen,<jats:italic>Achromobacter<\/jats:italic>may be associated with wide antimicrobial resistance and unfavorable outcomes.<jats:italic>Conclusion.<\/jats:italic>No current guidelines provide significant guidance on treatment of PEG-tube peritonitis regardless of microbial etiology. Infectious Disease Society of America identifies various broad-spectrum antibiotics targeting nosocomial intra-abdominal coverage; some of these antimicrobial selections (such as cefepime and metronidazole combination) may yet be inadequate for widely resistant<jats:italic>Achromobacter<\/jats:italic>spp. Recognizably, the common antibiotics utilized for spontaneous bacterial peritonitis, i.e., third generation cephalosporins and fluoroquinolones, to which<jats:italic>Achromobacter<\/jats:italic>is resistant and variably susceptible, respectively, would be extensively insufficient. Piperacillin\/tazobactam (P\/T) and carbapenem were identified to provide the most reliable coverage<jats:italic>in vitro<\/jats:italic>; clinically, 5 out of the 8 patients who received either P\/T or a carbapenem, or both, eventually experienced clinical improvement.<\/jats:p>","DOI":"10.1155\/2020\/4397930","type":"journal-article","created":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T23:30:37Z","timestamp":1579217437000},"page":"1-11","source":"Crossref","is-referenced-by-count":4,"title":["First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to<i>Achromobacter<\/i>Species with Literature Review"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8415-7934","authenticated-orcid":true,"given":"Nishant","family":"Tripathi","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Kentucky, Lexington, KY, 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