Reinsertion of Peritoneal Dialysis Catheter in a Patient With Nocardial Peritonitis and Tunnel Abscess

Nephrology (Carlton). 2025 Mar;30(3):e70014. doi: 10.1111/nep.70014.

Abstract

Nocardial peritonitis is rare and difficult to diagnose and treat in patients on continuous ambulatory peritoneal dialysis (CAPD). Nocardia-related PD peritonitis has high mortality. There is not much data on the reinsertion of peritoneal dialysis catheters after PD peritonitis. We describe a case of nocardial peritonitis associated with septic shock necessitating Tenckhoff catheter removal. After appropriate treatment with 7 months of trimethoprim-sulfamethoxazole, the PD catheter was reinserted. After 1 year, the patient continues to be on CAPD without recurrence.

Keywords: CAPD; PD catheter reinsertion; nocardial peritonitis; peritoneal dialysis.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnosis
  • Abscess / etiology
  • Abscess / microbiology
  • Abscess / therapy
  • Anti-Bacterial Agents* / administration & dosage
  • Anti-Bacterial Agents* / therapeutic use
  • Catheter-Related Infections / diagnosis
  • Catheter-Related Infections / drug therapy
  • Catheter-Related Infections / microbiology
  • Catheter-Related Infections / therapy
  • Catheters, Indwelling* / adverse effects
  • Device Removal*
  • Female
  • Humans
  • Kidney Failure, Chronic / complications
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Nocardia Infections* / diagnosis
  • Nocardia Infections* / drug therapy
  • Nocardia Infections* / microbiology
  • Peritoneal Dialysis, Continuous Ambulatory* / adverse effects
  • Peritoneal Dialysis, Continuous Ambulatory* / instrumentation
  • Peritonitis* / diagnosis
  • Peritonitis* / etiology
  • Peritonitis* / microbiology
  • Shock, Septic / diagnosis
  • Shock, Septic / etiology
  • Shock, Septic / microbiology
  • Shock, Septic / therapy
  • Treatment Outcome
  • Trimethoprim, Sulfamethoxazole Drug Combination / administration & dosage
  • Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use

Substances

  • Anti-Bacterial Agents
  • Trimethoprim, Sulfamethoxazole Drug Combination