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Journal of Clinical Microbiology, June 2003, p. 2783-2784, Vol. 41, No. 6
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.6.2783-2784.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Lactobacillus paracasei Continuous Ambulatory Peritoneal Dialysis-Related Peritonitis and Review of the Literature

Phyllis A. Neef,1 Hari Polenakovik,1* Jill E. Clarridge,2 Mohammad Saklayen,1 Laura Bogard,1 and Jack M. Bernstein1

Dayton Veterans Affairs Medical Center, Wright State University School of Medicine, Dayton, Ohio,1 Seattle Veterans Affairs Medical Center, University of Washington, Seattle, Washington2

Received 21 October 2002/ Returned for modification 11 January 2003/ Accepted 14 March 2003

We describe the first case of continuous ambulatory peritoneal dialysis (CAPD)-related peritonitis due to Lactobacillus paracasei. It occurred in a 65-year-old patient with recurrent episodes of peritonitis while he was receiving a prolonged course of intraperitoneal vancomycin. L. paracasei should be considered in the differential diagnosis of pathogens in CAPD-related peritonitis, especially in patients receiving prolonged vancomycin or glycopeptide treatment.


* Corresponding author. Mailing address: VAMC (111W), 4100 W. Third St., Dayton, OH 45428. Phone: (937) 775-8801. Fax: (937) 267-5310. E-mail: Hari.polenakovik{at}med.va.gov.


Journal of Clinical Microbiology, June 2003, p. 2783-2784, Vol. 41, No. 6
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.6.2783-2784.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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