Salmonella Peritonitis: Clinical Case from Our Center

Paribello G, Papa F, Ganzerli MC, Del Prete C, Capuano I, Rizzo M, Sannino G, Rompianesi G, Pisani A and Riccio E

Department of Nephrology, Federico II University Hospital, Italy
Department of Nephrology, San Giuliano Hospital, Italy
Department of Medicine, Surgery and Dentistry, University of Salerno, Italy
Department of Clinical Medicine and Surgery, Federico II University Hospital, Italy

^*Correspondance to: Giuseppe Paribello 

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Abstract:

Peritoneal dialysis is an effective treatment modality for patients with end-stage renal disease. Peritoneal dialysis-related peritonitis remains the major complication and primary challenge to the long-term success of peritoneal dialysis. Among PD patients, Salmonella peritonitis is extremely rare. In our center, a 67-year-old man who had been undergoing peritoneal dialysis for 4 years and half presented with complaints of 3-days abdominal pain and diarrhea. The patient had no fever, his abdomen was mildly tender to palpation, and Tenckhoff catheter exit-site was clean. When we further explored his history, he mentioned raw eggs ingestion, and serodiagnosis of infection with Salmonella typhi, using the Widal agglutination assay, was positive at a titer of 1/320. Antibiotic treatment with Meropenem and Ciprofloxacin was started and the patient was transferred to hemodialysis, and surgery was performed in order to drain purulent peritoneal fluid and remove Tenckhoff catheter. At discharge, Widal test was negative. Actually, after 5 months, the patient has a good health compatible with his chronic kidney disease and his return to peritoneal dialysis is planned.

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Cite the Article:

Paribello G, Papa F, Ganzerli MC, Del Prete C, Capuano I, Rizzo M, et al. Salmonella Peritonitis: Clinical Case from Our Center. Clin Case Rep Int. 2023; 7: 1643.