IDCases (Jan 2017)

Haemophilus influenzae peritonitis in a girl on automated peritoneal dialysis: Case report and review of the literature

  • Taketo Otsuka,
  • Hiroya Hasegawa,
  • Takeshi Yamada,
  • Utako Kaneko,
  • Akihiko Saitoh

DOI
https://doi.org/10.1016/j.idcr.2017.06.003
Journal volume & issue
Vol. 9, no. C
pp. 47 – 49

Abstract

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Haemophilus influenzae is a rare cause of peritonitis in patients on peritoneal dialysis (PD). We report a case of peritonitis due to non-typeable H. influenzae in a 5-year-old girl on automated PD. The patient was successfully treated with intraperitoneal cefepime and cefazolin. The isolate was multilocus sequence type 3 and contained the hmw and hia genes but was IS1016-negative. Seven of the eight reported cases were female, indicating that sex-associated factors may be important in H. influenzae peritonitis in patients on PD. Determination of the pathogenesis of PD-associated H. influenzae peritonitis requires gene analysis and a swab sample from the vaginal introitus.

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