Abstract
Background: Staphylococcus Auricularis is part of the normal flora of the external auditory canal, and can cause skin infections, otitis media and endocarditis.
Purpose: To report Staphylococcus Auricularis as a rare pathogen causing peritoneal dialysis–related peritonitis.
Case presentation: A 28-year-old female patient on peritoneal dialysis presented with cloudy peritoneal fluid and abdominal pain. The peritoneal fluid cell count was 2120 leukocytes/mm3. Empiric antibiotic therapy was initiated with intraperitoneal cefazolin and Amikacin. The fluid remained cloudy despite the treatment, and the culture reported Oxacillin-Resistant Staphylococcus Auricularis, sensitive to Vancomycin. Antibiotics were switched to Vancomycin; however, the evolution was unfavorable and it was decided to remove the Tenckhoff catheter.
Discussion and conclusion: Staphylococcus Auricularis should be considered a rare cause of peritoneal dialysis – related peritonitis.
KEYWORDS: Staphylococcus Auricularis, Peritonitis, Peritoneal Dialysis
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