Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.

We report a rare clinical case of infection with the bacterium Sphingobium yanoikuyae in an 87-year-old patient undergoing peritoneal dialysis for end-stage renal failure. Sphingobium yanoikuyae is an aerobic, gram-negative bacterium known for its ability to degrade polycyclic aromatic hydrocarbons...

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Main Authors: Sara Mouradi, Gérard Motte, Stéphane Torner, Pierre Lebugle, Nelly Petitboulanger, Aziz Bemmerzouk, Pierre-Yves Charles
Format: Article
Language:English
Published: RDPLF 2023-11-01
Series:Bulletin de la Dialyse à Domicile
Subjects:
Online Access:https://bdd.rdplf.org/index.php/bdd/article/view/80703
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author Sara Mouradi
Gérard Motte
Stéphane Torner
Pierre Lebugle
Nelly Petitboulanger
Aziz Bemmerzouk
Pierre-Yves Charles
author_facet Sara Mouradi
Gérard Motte
Stéphane Torner
Pierre Lebugle
Nelly Petitboulanger
Aziz Bemmerzouk
Pierre-Yves Charles
author_sort Sara Mouradi
collection DOAJ
description We report a rare clinical case of infection with the bacterium Sphingobium yanoikuyae in an 87-year-old patient undergoing peritoneal dialysis for end-stage renal failure. Sphingobium yanoikuyae is an aerobic, gram-negative bacterium known for its ability to degrade polycyclic aromatic hydrocarbons and its bioremediation potential. A member of the Sphingomonadaceae family, it has been identified in a variety of environments, including dialysis equipment. After starting peritoneal dialysis, the patient developed an infectious syndrome. Bacteriological analysis of the peritoneal effluent revealed the presence of Sphingobium yanoikuyae in the dialysate. Appropriate antibiotic therapy with MEROPENEM was instituted as soon as the Sphyngobium antibiogram was obtained. A second bacterium, Shingomonas sp, was also identified later (resistant to MEROPENEM). Due to the favorable clinicobiological course, only Sphyngobium was considered responsible for the disease. This is the first known case of human infection with Sphingobium yanoikuyae, and the third case of infection with a Sphingobium species in a peritoneal dialysis setting. The low prevalence of this germ in human infections suggests a low virulence of this bacterium. Nevertheless, this highlights the potential risk of nosocomial infections linked to this family of bacteria. This germ has shown antibiotic resistance, raising concerns about anti-infective resistance in opportunistic bacteria such as Sphingomonadaceae. This case adds to our knowledge of rare, antibiotic-resistant infections in the hospital setting, particularly in vulnerable patients treated with peritoneal dialysis.
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spelling doaj.art-0acf428ce5214c2f9d31487baa6d4ddf2023-11-15T00:20:09ZengRDPLFBulletin de la Dialyse à Domicile2607-99172023-11-016312312710.25796/bdd.v6i3.8070394843Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.Sara Mouradi0https://orcid.org/0009-0008-6735-5048Gérard Motte1https://orcid.org/0009-0007-0134-5923Stéphane Torner2https://orcid.org/0009-0003-3024-7610Pierre Lebugle3https://orcid.org/0009-0002-0624-6995Nelly Petitboulanger4https://orcid.org/0009-0002-8727-0478Aziz Bemmerzouk5https://orcid.org/0009-0004-5902-9059Pierre-Yves Charles6https://orcid.org/0000-0003-0691-6397Service de nephrologie, Centre hospitalier Louis Pasteur, DoleService de nephrologie, Centre hospitalier Louis Pasteur, DoleService de nephrologie, Centre hospitalier Louis Pasteur, DoleService de nephrologie, Centre hospitalier Louis Pasteur, DoleLaboratoire de Biologie, Centre hospitalier Louis Pasteur, DoleService de nephrologie, Centre hospitalier Louis Pasteur, DoleService de nephrologie, Centre hospitalier Louis Pasteur, DoleWe report a rare clinical case of infection with the bacterium Sphingobium yanoikuyae in an 87-year-old patient undergoing peritoneal dialysis for end-stage renal failure. Sphingobium yanoikuyae is an aerobic, gram-negative bacterium known for its ability to degrade polycyclic aromatic hydrocarbons and its bioremediation potential. A member of the Sphingomonadaceae family, it has been identified in a variety of environments, including dialysis equipment. After starting peritoneal dialysis, the patient developed an infectious syndrome. Bacteriological analysis of the peritoneal effluent revealed the presence of Sphingobium yanoikuyae in the dialysate. Appropriate antibiotic therapy with MEROPENEM was instituted as soon as the Sphyngobium antibiogram was obtained. A second bacterium, Shingomonas sp, was also identified later (resistant to MEROPENEM). Due to the favorable clinicobiological course, only Sphyngobium was considered responsible for the disease. This is the first known case of human infection with Sphingobium yanoikuyae, and the third case of infection with a Sphingobium species in a peritoneal dialysis setting. The low prevalence of this germ in human infections suggests a low virulence of this bacterium. Nevertheless, this highlights the potential risk of nosocomial infections linked to this family of bacteria. This germ has shown antibiotic resistance, raising concerns about anti-infective resistance in opportunistic bacteria such as Sphingomonadaceae. This case adds to our knowledge of rare, antibiotic-resistant infections in the hospital setting, particularly in vulnerable patients treated with peritoneal dialysis.https://bdd.rdplf.org/index.php/bdd/article/view/80703peritoneal dialysissphingobium yanoikuyaeperitonitisantibotic resistance
spellingShingle Sara Mouradi
Gérard Motte
Stéphane Torner
Pierre Lebugle
Nelly Petitboulanger
Aziz Bemmerzouk
Pierre-Yves Charles
Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.
Bulletin de la Dialyse à Domicile
peritoneal dialysis
sphingobium yanoikuyae
peritonitis
antibotic resistance
title Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.
title_full Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.
title_fullStr Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.
title_full_unstemmed Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.
title_short Sphingobium yanoikuyae peritonitis in peritoneal dialysis: a case report.
title_sort sphingobium yanoikuyae peritonitis in peritoneal dialysis a case report
topic peritoneal dialysis
sphingobium yanoikuyae
peritonitis
antibotic resistance
url https://bdd.rdplf.org/index.php/bdd/article/view/80703
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AT pierrelebugle sphingobiumyanoikuyaeperitonitisinperitonealdialysisacasereport
AT nellypetitboulanger sphingobiumyanoikuyaeperitonitisinperitonealdialysisacasereport
AT azizbemmerzouk sphingobiumyanoikuyaeperitonitisinperitonealdialysisacasereport
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