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논문분류	춘계학술대회 초록집
제목	A Case of Peritoneal Dialysis-associated Peritonitis Caused by Rothia Mucilaginosa
저자	A Young Cho, Byeong Gwan Kim, Sang Sun Kim, Seong Hee Lee, Hong Shik Shin,Hyun Ju Yoon, In O Sun, Kwang Young Lee, Jeong Gwan Kim
출판정보	2014; 2014(1):
키워드	Rothia mucilaginosa, 복막염, 복막투석
초록	Rothia mucilaginosa (R. mucilaginosa) is an encapsulated gram-positive coagulase-negative, non-sporing coccus found in pairs, clusters and tetrads and is considered as normal flora of the mouth and respiratory tract. There are commonly reports of endocarditis in patients with abnormal heart valves, meningitis, septicemia and pneumonia in intravenous drug abusers. R. mucilaginosa is generally susceptible to penicillin, ampicillin, cefotaxime, imipenem, rifampicin and glycopeptides. Furthermore, it is an unusual pathogen in cases of peritoneal dialysis (PD)-associated peritonitis. Cases of PD-associated peritonitis caused by R. mucilaginosa have been reported worldwide. However, there has been no case by R. mucilaginosa in Korea. A 56-year-old man who had been treated with Continuous ambulatory peritoneal dialysis for 3 years was admitted to our hospital because of a turbid peritoneal effluent accompanied by abdominal pain. He had been treated for peritonitis with Streptococcus mitis (S. mitis) 3 months previously. Culture of the peritoneal dialysis revealed S. mitis at first time. His clinical condition improved after intraperitoneal antibiotics. But abdominal pain developed again, and the effluent became turbid. Then culture of the peritoneal dialysis revealed R. mucilaginosa two times. Culture of peritoneal effluent was negative and his condition was improved on 2 weeks after intraperitoneal antibiotics. We report a case of PD-associated peritonitis due to R. mucilaginosa which recovered after using cephazolin and ceftazidime for 2 weeks.
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