{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:05:09Z","timestamp":1787843109943,"version":"build-2784847793"},"reference-count":15,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>Peritoneal dialysis (PD)-associated peritonitis is a major cause of peritoneal dysfunction and failure. The main issue regarding the treatment is whether to remove the catheter surgically or to treat with antibiotics alone. Notably, PD-associated peritonitis is commonly caused by gram-positive cocci, but rarely by <jats:italic>Listeria monocytogenes<\/jats:italic> and <jats:italic>Burkholderia cepacia<\/jats:italic>. Here, we report a patient diagnosed with PD-associated peritonitis caused by <jats:italic>L. monocytogenes<\/jats:italic> and <jats:italic>B. cepacia<\/jats:italic> who presented with a fever, abdominal pain, and turbid dialysate and had been receiving PD for over 20\u2009years. After 2\u2009weeks of antibiotic treatment, the catheter in the patient was surgically removed. Culture and pathology results revealed pathogen growth, foreign body granuloma with chronic inflammation, and inflammatory cells with fibroblast infiltration. The patient was switched to hemodialysis. She eventually recovered and was discharged. The patient presented fair health at the 3-month follow-up. In conclusion, sequential dialysate white blood cell count may help clinicians decide the course of treatment and guide the timing of surgical intervention.<\/jats:p>","DOI":"10.3389\/fmed.2024.1381262","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T04:26:00Z","timestamp":1721190360000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Peritonitis caused by Listeria monocytogenes and Burkholderia cepacia in a patient on peritoneal dialysis: a case report"],"prefix":"10.3389","volume":"11","author":[{"given":"Yu-Chi","family":"Tsai","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Kai","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen-Ching","family":"Kung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Yao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,7,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1177\/08968608221080586","article-title":"ISPD peritonitis guideline recommendations: 2022 update on prevention and treatment","volume":"42","author":"Li","year":"2022","journal-title":"Perit Dial 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exit-site infection in peritoneal dialysis patients-clinical characteristics and treatment outcomes","volume":"36","author":"Yap","year":"2016","journal-title":"Perit Dial Int"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"768","DOI":"10.2215\/CJN.01010306","article-title":"Predictive value of dialysate cell counts in peritonitis complicating peritoneal dialysis","volume":"1","author":"Chow","year":"2006","journal-title":"Clin J Am Soc Nephrol"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"14797","DOI":"10.1038\/s41598-018-33196-2","article-title":"A clinical risk prediction tool for peritonitis-associated treatment failure in peritoneal dialysis patients","volume":"8","author":"Nochaiwong","year":"2018","journal-title":"Sci Rep"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2016\/6217135","article-title":"Dialysate white blood cell change after initial antibiotic treatment represented the patterns of response in peritoneal dialysis-related peritonitis","volume":"2016","author":"Tantiyavarong","year":"2016","journal-title":"Int J Nephrol"},{"key":"ref15","doi-asserted-by":"crossref","DOI":"10.1053\/j.ajkd.2003.08.046","article-title":"Peritoneal dialysis catheter removal for acute peritonitis: a retrospective analysis of factors associated with catheter removal and prolonged postoperative hospitalization","author":"Choi","year":"2004","journal-title":"Am J Kidney Dis"}],"container-title":["Frontiers in 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