Table3 Summary of 15 patients with Sphingomonas paucimobilis Peritonitis
Case | Year | Age | Gender | DM | Symptoms (first visit) | Susceptible antibiotics | Treatment | Clinical course | Outcome | References |
|---|---|---|---|---|---|---|---|---|---|---|
1 | 1984 | 74 | Female | No | Abdominal pain Vomiting Cloudy dialysate | ABPC CBPC GM TOB EM TC ST CP | ST IP (14 days) | Rapidly improved | Cured | [7] |
2 | 1984 | 33 | Female | No | Abdominal pain Cloudy dialysate | ABPC CBPC GM TOB EM TC ST CP | 1. CEZ IP + TOB IP 2. ABPC IP 3. AMPC orally (5 days) 4. After catheter removal, TOB IV | 1 Week after treatment No3, relapsed | Catheter removed | [7] |
3 | 1985 | 61 | Male | No | Cloudy dialysate | CXM CAZ Ticarcillin AMK CP | VCM IP + GM IP (duration NR) | NR | Cured | [8] |
4 | 1985 | 50 | Male | NR | Cloudy dialysate | NR | 1. CET IP (4 days) 2. CET IP (5 days) 3. CEX orally (14 days) 4. TOB IP (14 days) | 3 Weeks after treatment No1, first relapsed, after 1 week of treatment no. 3, second relapsed | Cured | [9] |
5 | 1987 | 65 | Male | No | NR | MZ CTX | 1. VCM (10 days) + TOB (12 days) + ABPC (3 days) 2. MZ (13 days) + CX (13 days) 3. CP (13 days) | NR | Catheter removed | [10] |
6 | 1988 | 38 | Female | No | Cloudy dialysate Abdominal discomfort Nausea | CET TOB | CET IP + TOB IP (duration NR) | 4 days after improvement, relapsed | Catheter removed | [11] |
7 | 1990 | 64 | Female | No | Cloudy dialysate | Aminoglycosides ST | 1. CPFX orally (5 days) 2. NTL IP(duration NR) | Rapidly improved | Cured | [12] |
8 | 2007 | 51 | Male | Yes | Abdominal pain Fever Cloudy dialysate | CAZ CTX CFPM IPM SBT/CPZ TAZ/PIPC AMK CPFX | 1. CEZ + AMK (14 days) 2. CEZ + CAZ (4 days) | 12 days after improvement of the first peritonitis due to C. indologenes with treatment of No. 1, developed | Catheter removed | [13] |
9 | 2008 | 50 | Male | NR | Abdominal pain Cloudy dialysate | ABPC PIPC IPM SBT/ABPC SBT/CPZ TAZ/PIPC GM LVFX ST | 1. VCM IP, single dose 2. IPM IV + GM IP(18 days) 3. After catheter removal, IPM IV(7 days) | Continued growth of S. paucimobilis despite dialysate without WBCs | Catheter removed | [14] |
10 | 2011 | 3.5 | Male | No | Abdominal pain Fever Cloudy dialysate | MEPM AMK TC PL | 1. AMK IP (4 days) 2. MEPM IV | Rapidly improved | Cured | [15] |
11 | 2013 | 63 | Male | Yes | Abdominal pain Cloudy dialysate | CAZ CTX IPM MEPM GM MINO CPFX | 1.CEZ IP + CAZ IP(14 days) 2.IPM IP | The next day after treatment of No.1, relapsed Resistant to CAZ | Catheter removed | [16] |
12 | 2015 | 50 | Female | NR | Abdominal pain Vomiting Fever Cloudy dialysate | CFPM MEPM AMK CAM CPFX | 1. VCM IP + CPFX IV(1 day) 2. TOB IP + CPFX IV(3 days) 3. TOB IP + MEPM IV(21 days) | Improvement after treatment of No.3 | Cured | [17] |
13 | 2016 | 35 | Female | No | Abdominal pain Cloudy dialysate | CTRX CFPM IPM CPFX LVFX | 1. VCM IP + CAZ IP(3 days) 2. CPFX orally + CTRX IP (21 days) 3. After catheter removal, CPFX orally + CTRX IP (14 days) | 3 days after treatment of No.2, relapsed | Catheter removed | [18] |
14 | 2018 | 63 | Female | No | Abdominal pain Vomiting・fever Cloudy dialysate | CAZ AMK GM CPFX | 1. CAZ IP + VCM IP (3 days) 2. CAZ IP + AMK IP(21 days) | Rapidly improved | Cured | [19] |
This case | 80 | Female | No | Cloudy dialysate | Table.2 | 1. CAZ IP (7 days) + CEZ IP(4 days) 2. MEPM IV (14 days) 3. MEPM IV(21 days) TOB IP (2 days) | 3 weeks after treatment No2, relapsed | Catheter removed |