Case Report

First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review

Table 1

All reported cases of Achromobacter spp. peritonitis-demographics, coinfection etiologies, and catheter or tube removal status.

CaseYearAge/sexPD catheter or PEG-tube removalCoinfection microbes

Bacterial peritonitis secondary to peritoneal dialysis

1 [8]198053/MNoStaphylococcus epidermidis
2 [5]198440/MNoStenotrophomonas maltophilia
3 [53]198634/FNoNone
4 [54, 55]199545/MYes. Day 48None
5 [55]199852/FYes. Day 10None
7 [56]Sep 200146/FYes. Day 6None
8 [56]Sep 200135/FYes. Day 8None
10 [49]200416/MYes. Day NRNone
11 [57]200772/FNoNone
12 [58]201051/FYes. Day 1None
13 [59]201174/FYes. Day 19Pseudomonas aeruginosa
14 [60]May 201282/FNoAchromobacter denitrificans
15 [50]Jul 201231/MNoNone
16 [51]Jan 201460/FNoNone
17 [14]201745/FRemoved prior to Achromobacter peritonitisNone
18 [52]201827/FYes. Day NR. During third episodeNone

Sponteneous bacterial peritonitis

6 [12]200043/MN/ANone
9 [13]200154/MN/ALikely Escherichia coli

Percutaneous endoscopic gastrostomy tube-associated peritonitis

19201865/MNoEnterococcus faecium
Candida glabrata

In case 7, PD catheter was replaced one-month postantibiotics. In case 8, catheter was replaced 6 weeks postantibiotics; PD catheter failed; subsequently, hemodialysis was initiated. Cases 11, 14, and 15 were reported as exit site infections. Case 16 was reported to be a tunnel infection. Abbreviations: PD = peritoneal dialysis, PEG = percutaneous endoscopic gastrostomy, NR = not reported, N/A = not applicable.