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Continuous Ambulatory Peritoneal Dialysis-Related Peritonitis Caused by Streptococcus bovis

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Abstract

The first case of Streptococcus bovis peritonitis associated with continuous ambulatory peritoneal dialysis (CAPD) in a 40-year-old Chinese woman suffering from systemic lupus erythematosus is reported. Streptococcus bovis is part of the normal flora in the human intestine and, less commonly, the female genital tract. Being a rare cause of peritonitis, the possible link between genital tract colonization by Streptococcus bovis and retrograde invasion of the peritoneal cavity is postulated to be the cause of continuous ambulatory peritoneal dialysis peritonitis in this patient. Since invasive Streptococcus bovis infection is associated with gastrointestinal pathology (Streptococcus bovis biotype I) and chronic liver diseases (Streptococcus bovis biotype II), identifying the biotype of Streptococcus bovis could guide treatment by indicating that further investigation of these underlying diseases is required.

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References

  1. Facklam R (2002) What happened to the streptococci: overview of taxonomic and nomenclature changes. Clin Microbiol Rev 15:613–630

    Article  PubMed  Google Scholar 

  2. Potter MA, Cunliffe NA, Smith M, Miles RS, Flapan AD, Dunlop MG (1998) A prospective controlled study of the association of Streptococcus bovis with colorectal carcinoma. J Clin Pathol 51:473–474

    CAS  PubMed  Google Scholar 

  3. Klein RS, Recco RA, Catalano MT, Edberg SC, Casey JI, Steigbigel NH (1977) Association of Streptococcus bovis with carcinoma of the colon. N Engl J Med 297:800–802

    CAS  PubMed  Google Scholar 

  4. Murray HW, Roberts RB (1978) Streptococcus bovis bacteremia and underlying gastrointestinal disease. Arch Intern Med 138:1097–1099

    Article  CAS  PubMed  Google Scholar 

  5. Gonzalez-Quintela A, Martinez-Rey C, Castroagudin JF, Rajo-Iglesias MC, Dominguez-Santalla MJ (2001) Prevalence of liver disease in patients with Streptococcus bovis bacteraemia. J Infect 42:116–119

    Article  PubMed  Google Scholar 

  6. Eledrisi MS, Zuckerman MJ, Ho H (2000) Spontaneous bacterial peritonitis caused by Streptococcus bovis. Am J Gastroenterol 95:1110–1111

    Article  CAS  PubMed  Google Scholar 

  7. Gloria H, Ducla-Soares J, Serejo F, Povoa P, Marques A, Ramalho F, Palma-Carlos A, Moura MC de, Bordalo O (1996) Streptococcus bovis spontaneous bacterial peritonitis in patients with alcoholic cirrhosis. Eur J Gastroenterol Hepatol 8:823–824

    Google Scholar 

  8. Shad JA, Schindler WR (1999) Spontaneous peritonitis due to Streptococcus bovis. Am J Gastroenterol 94:2327

    Article  CAS  PubMed  Google Scholar 

  9. Ackerman Z, Eliakim R, Stalnikowicz R (1995) Spontaneous peritonitis caused by Streptococcus bovis: search for colonic neoplasia. J Clin Gastroenterol 21:263

    CAS  PubMed  Google Scholar 

  10. Levison ME, Bush LM (2000) Peritonitis and other intra-abdominal infections. In: Mandell GL, Bennett JE, Dolin R (eds) Mandell, Douglas, and Bennett's Principles and practice of infectious diseases. Churchill Livingstone, Philadelphia, Pennsylvania, pp 821–856

  11. Larcher VF, Manolaki N, Vegnente A, Vergani D, Mowat AP (1985) Spontaneous bacterial peritonitis in children with chronic liver disease: clinical features and etiologic factors. J Pediatr 106:907–912

    CAS  PubMed  Google Scholar 

  12. Hemsley C, Eykyn SJ (1998) Pneumococcal peritonitis in previously healthy adults: case report and review. Clin Infect Dis 27:376–379

    CAS  PubMed  Google Scholar 

  13. Anaf V, Noel JC, Thys JP, Simon P, Buxant F (2001) A first case of Streptococcus bovis bacteremia and peritonitis from endometrial cancer origin. Acta Chir Belg 101:38–39

    CAS  PubMed  Google Scholar 

  14. Egido JM, Maestre JR, Pena Izquierdo MY (1995) The isolation of Streptococcus morbillorum from vaginal exudates. Rev Soc Bras Med Trop 28:117–122

    CAS  PubMed  Google Scholar 

  15. Ruoff KL, Miller SI, Garner CV, Ferraro MJ, Calderwood SB (1989) Bacteremia with Streptococcus bovis and Streptococcus salivarius: clinical correlates of more accurate identification of isolates. J Clin Microbiol 27:305–308

    CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Infectious Diseases, Department of Microbiology, The University of Hong Kong, University Pathology Building, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong

    S. S. Y. Wong, P. C. Y. Woo, P. L. Ho & T. K. F. Wang

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  1. S. S. Y. Wong
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  2. P. C. Y. Woo
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  3. P. L. Ho
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  4. T. K. F. Wang
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Correspondence to T. K. F. Wang.

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Wong, S.S.Y., Woo, P.C.Y., Ho, P.L. et al. Continuous Ambulatory Peritoneal Dialysis-Related Peritonitis Caused by Streptococcus bovis . Eur J Clin Microbiol Infect Dis 22, 424–426 (2003). https://doi.org/10.1007/s10096-003-0951-1

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  • DOI: https://doi.org/10.1007/s10096-003-0951-1

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