Nephrology, Haseki Training and Research Hospital, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey.
Perit Dial Int. 2011 Jul-Aug;31(4):409-11. doi: 10.3747/pdi.2010.00114.
One of the uncommon gram negative organisms causing peritonitis in peritoneal dialysis patients is Citrobacter. Because of this organism's resistant nature, treatment for Citrobacter peritonitis may be difficult, and removal of the catheter may be necessary in refractory cases. Here we present 2 cases of peritonitis caused by this organism and fully treated with antibiotics. The literature contains only a limited number of reports on Citrobacter peritonitis, mostly case reports or portions of general papers about the microbiological spectrum of peritonitis in the relevant units. Until enough data about this micro-organism have been accumulated to map out an approach, it is wise to individualize treatment by watching the response of the patient during the wait for the antibiogram result and not to hesitate to remove the catheter if the clinical situation deteriorates.
导致腹膜透析患者腹膜炎的罕见革兰氏阴性菌之一是柠檬酸杆菌。由于该生物体的耐药性，柠檬酸杆菌腹膜炎的治疗可能较为困难，在难治性病例中可能需要去除导管。在此，我们介绍 2 例由该病原体引起的腹膜炎，并通过抗生素完全治愈。文献中仅包含有限数量的关于柠檬酸杆菌腹膜炎的报告，大多数是关于相关单位腹膜炎微生物谱的病例报告或一般论文的一部分。在积累足够的数据以制定方法之前，明智的做法是通过观察患者对抗菌素试验结果的反应来个体化治疗，并且如果临床情况恶化，不要犹豫去除导管。
