{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T06:10:09Z","timestamp":1791612609735,"version":"4.3.4"},"reference-count":15,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infectious Disease Reports"],"abstract":"<jats:p>The peritonitis caused by gram-negative organisms is a serious complication encountered in patients undergoing peritoneal dialysis, often causing high morbidity and mortality. There has been recognition of peritonitis caused by uncommon organisms because of improved microbiological detection techniques. The healthcare providers involved in the management of these patients should be very vigilant. We report a rare case of peritonitis caused bycA 42-year-old male on peritoneal dialysis for five years presented with abdominal pain and cloudy effluent. The peritoneal fluid analysis was consistent with peritonitis, and peritoneal fluid culture grew Citrobacter freundii. The patient was treated with two courses of double antibiotic coverage with intraperitoneal ceftazidime and oral ciprofloxacin, which failed to resolve the infection and hence resulted in the removal the peritoneal dialysis catheter and dialysis modality change.<\/jats:p>","DOI":"10.4081\/idr.2020.8376","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T17:08:27Z","timestamp":1587056907000},"page":"8376","source":"Crossref","is-referenced-by-count":5,"title":["Peritonitis from Facultative Anaerobic Gram-Negative Bacilli Likely due to Translocation of Bacteria from Gut in a Patient Undergoing Peritoneal Dialysis"],"prefix":"10.3390","volume":"12","author":[{"given":"Sreedhar","family":"Adapa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srikanth","family":"Naramala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmandeep 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dialysis","volume":"57","author":"Dervisoglu","year":"2008","journal-title":"J Med Microbiol"},{"key":"ref9","first-page":"187","article-title":"Bact\u00e9rias raras como causa de peritonite em di\u00e1lise peritoneal: A experi\u00eancia de um centro","volume":"27","author":"Farinha","year":"2013","journal-title":"Portug J Nephrol Hypertens"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/s13730-012-0012-7","article-title":"Morphological analysis of biofilm of peritoneal dialysis catheter in refractory peritonitis patient","volume":"1","author":"Kusaba","year":"2012","journal-title":"CEN Case Rep"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"593","DOI":"10.3904\/kjm.2015.88.5.593","article-title":"Unusual CAPD Citrobacter freundii Peritonitis Complicated by a Fungal Infection, Identified by 16s Ribosomal RNA Gene Sequencing","volume":"88","author":"Oh","year":"2015","journal-title":"Korean J 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Performance standards for antimicrobial susceptibility testing: Twentieth informational supplement","author":"Wayne","year":"2010","journal-title":"CLSI document M100\u2013S20"},{"key":"ref15","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":"Periton Dialysis Int"}],"container-title":["Infectious Disease Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.pagepress.org\/journals\/index.php\/idr\/article\/download\/8376\/8215","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.pagepress.org\/journals\/index.php\/idr\/article\/download\/8376\/8225","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.mdpi.com\/2036-7449\/12\/1\/8376\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T14:05:15Z","timestamp":1666361115000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2036-7449\/12\/1\/8376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,16]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,2]]}},"alternative-id":["idr.2020.8376"],"URL":"https:\/\/doi.org\/10.4081\/idr.2020.8376","relation":{},"ISSN":["2036-7449"],"issn-type":[{"value":"2036-7449","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,16]]}}}