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Peritoneal dialysis-associated peritonitis caused by Enterococcus avium
  1. Rita Calça1,
  2. Francisca Gomes da Silva2,
  3. Ana Rita Martins1 and
  4. Patrícia Quadros Branco1
  1. 1Nephrology Department, Centro Hospitalar de Lisboa Ocidental EPE Hospital de Santa Cruz, Carnaxide, Portugal
  2. 2Nephrology Department, Hospital Doutor Nélio Mendonça, Funchal, Portugal
  1. Correspondence to Dr Rita Calça; arrcalca{at}


Peritonitis remains a common and serious complication of peritoneal dialysis. Peritonitis caused by gram-positive organisms includes coagulase-negative staphylococci, Streptococcus spp and Enterococcus spp. We present a rare case of peritoneal dialysis-associated peritonitis, where persisting abdominal pain and worsening laboratory findings despite antibiotic therapy led to the identification of Enterococcus avium, requiring Tenckoff catheter removal and temporary transfer to haemodialysis. The available literature reports only few cases where peritonitis is caused by this agent, underlining the need to consider atypical microbial agents when heterogeneous clinical course is presented.

  • infectious diseases
  • medical management
  • dialysis
  • chronic renal failure

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  • Contributors RC, FGdS contributed to data acquisition; RC contributed to paper writing; FGdS, ARM, PQB contributed to revision of manuscript; PQB contributed to supervision or mentorship.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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