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Recurrent bacterial peritonitis caused by Neisseria cinerea in a chronic ambulatory peritoneal dialysis (CAPD) patient
Affiliation:1. Servicio de Microbiología y Parasitología Clínica, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España;2. Servicio de Pediatría, Centro de Salud Universitas, Zaragoza, España;1. Department of Otolaryngology, Head and Neck Surgery, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan;2. Department of Microbiology and Infectious Diseases, Nara Medical University, Kashihara, Nara, Japan;3. Department of Virology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan;4. Department of Infection Control and Laboratory Diagnostics, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan;1. Servicio de Análisis Clínicos, Hospital de Mérida, Mérida, Badajoz, España;2. Sección de Microbiología, Servicio de Análisis Clínicos, Hospital de Mérida, Mérida, Badajoz, España;1. Department of Internal Medicine, School of Medicine, Chosun University, Gwangju, Republic of Korea;2. Department of Neurosurgery, School of Medicine, Chosun University, Gwangju, Republic of Korea;3. Department of Laboratory Medicine, School of Medicine, Chosun University, Gwangju, Republic of Korea;4. Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea;5. Health and Environment Research Institute of Gwangju Metropolitan City, Gwangju, Republic of Korea;1. Department of Orthopaedic, University of Sassari, Sardinia, Italy;2. Department of Biomedical Sciences, University of Sassari, Sassari, Sardinia, Italy;3. Department of Radiology, University of Sassari, Sassari, Sardinia, Italy
Abstract:We present an unusual case of recurrent (chronic ambulatory peritoneal dialysis) CAPD-associated peritonitis caused by Neisseria cinerea. Using DNA restriction fragment length polymorphism (RFLP) analysis, we determined that the recurrent infection was caused by reinfection with a different N. cinerea strain rather than relapse with the index strain and that the probable origin of the reinfecting organism was the patient's upper respiratory tract.
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