Letter to the Editor

Polymicrobial Peritonitis Including Pantoea agglomerans From Teething on a Catheter

Authors: Keith K. Lau, MD, Bettina H. Ault, MD, Deborah P. Jones, MD


A 24-month-old female with end-stage renal disease on chronic peritoneal dialysis presented with a 1-day history of cloudy peritoneal fluid without fever or abdominal pain. Her usual medicines included cotrimoxazole, iron, sodium citrate, erythropoietin, and growth hormone.

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.


1. Neu AM, Ho PL, McDonald RA, et al. Chronic dialysis in children and adolescents: the 2001 NAPRTCS Annual Report. Pediatr Nephrol 2002;17:656–663.
2. Holley JL, Bernardini J, Piraino B. Polymicrobial peritonitis in patients on continuous peritoneal dialysis. Am J Kidney Dis 1992;19:162–166.
3. Furth SL, Donaldson LA, Sullivan EK, et al. Peritoneal dialysis catheter infections and peritonitis in children: a report of the North American Pediatric Renal Transplant Cooperative Study. Pediatr Nephrol2000;15:179–182.
4. Schaefer F, Klaus G, Muller-Wiefel DE, et al. Intermittent versus continuous intraperitoneal glycopeptide/ceftazidime treatment in children with peritoneal dialysis-associated peritonitis: the Mid-European Pediatric Peritoneal Dialysis Study Group (MEPPS). J Am Soc Nephrol 1999;10:136–145.
5. Ulloa-Gutierrez R, Moya T, Avila-Aguero ML. Pantoea agglomerans and thorn-associated suppurative arthritis. Pediatr Infect Dis J 2004;23:690.