A case report of Neisseria mucosa peritonitis in a chronic ambulatory peritoneal dialysis patient

Abstract

Peritonitis is a leading complication of chronic ambulatory peritoneal dialysis. However, very rarely does <em>Neisseria</em> <em>mucosa</em> cause peritonitis. We describe an unusual case of <em>N</em>. <em>mucosa</em> peritonitis in a chronic ambulatory peritoneal dialysis patient. A 28-year-old Hispanic male presents with diffuse abdominal pain exacerbated during draining of the peritoneal fluid. Peritoneal fluid examination was remarkable for leukocytosis and gramnegative diplococci. Bacterial cultures were positive for <em>N. mucosa</em> growth. The patient was treated with ciprofloxacin with preservation of the dialysis catheter. This case highlights the rarity and importance of <em>Neisseria</em> <em>mucosa</em> causing peritonitis in chronic ambulatory peritoneal dialysis patients’. There seems to be a unique association between <em>N. mucosa</em> peritonitis and chronic ambulatory peritoneal dialysis patients’. The patient was successfully managed with ciprofloxacin along with salvaging of the dialysis catheter.