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CASE REPORT
Brevibacterium casei isolated as a cause of relapsing peritonitis
  1. Mohammed Mahdi Althaf1,
  2. Mohamed Said Abdelsalam1,2,
  3. Mohammed Sunaid Alsunaid1,
  4. Maged Hassan Hussein1
  1. 1Department of Medicine, Section of Nephrology, King Faisal Specialist Hospital and Research Center, Riyadh, Ar-Riyadh, Saudi Arabia
  2. 2Faculty of Medicine, Internal Medicine Department, Alexandria University, Alexandria, Egypt
  1. Correspondence to Dr Mohammed Mahdi Althaf, moalthaf{at}kfshrc.edu.sa, malthaf{at}outlook.com

Summary

We report a case of relapsing peritonitis in a 33-year-old woman on automated peritoneal dialysis. End-stage renal disease was secondary to systemic lupus erythematosus complicated with lupus nephritis. The organism isolated was Brevibacterium casei that was not readily identified, delaying appropriate management with an extended antibiotic course. Definite management of B casei peritonitis was peritoneal dialysis catheter removal.

https://doi.org/10.1136/bcr-2014-203611

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