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First report of Kocuria marina spontaneous peritonitis in a child

Published in BMC infectious diseases. 2014, vol. 14, no. 1, 3835
Abstract BackgroundSpontaneous bacterial peritonitis (SBP) is a rare affection in the pediatric population. It usually occurs when concurrent conditions are present, such as nephrotic syndrome, peritoneal dialysis or liver disease. We report a case of spontaneous bacterial peritonitis due to Kocuria marina in a 2-year-old child with no underlying risk factor. This is both the first description of an infection caused by this rare pathogen in a child and the first reported case of primary peritonitis caused by K. marina in a patient with no predisposing condition.Case descriptionA 2 year-old boy presented to the Pediatric Emergency Department with clinical signs of peritonitis. Laparoscopic surgical exploration confirmed purulent, generalized peritonitis without perforation. Culture of the peritoneal fluid revealed the presence of Kocuria marina, a Gram-positive coccoid environmental bacteria. After peritoneal lavage and appropriate antibiotic treatment, the patient improved and was discharged without sequel.ConclusionThe present report illustrates the first clinical presentation of Kocuria marina SBP in a child with no underlying risk factor. Although never previously described in healthy patients, this pathogen may therefore be considered as a possible cause of SBP in a child. This unusual finding extends the spectrum of infectious diseases caused by Kocuria marina beyond the scope of the previously described susceptible population.
PMID: 25547004
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Article (Published version) (671 Kb) - public document Free access
Research groups Etiologie des pneumonies et marqueurs inflammatoires chez l'enfant fébrile (183)
Recherche clinique en chirurgie pédiatrique (886)
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BRAENDLE, Gabriel et al. First report of Kocuria marina spontaneous peritonitis in a child. In: BMC infectious diseases, 2014, vol. 14, n° 1, p. 3835. doi: 10.1186/s12879-014-0719-5 https://archive-ouverte.unige.ch/unige:55201

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Deposited on : 2015-04-07

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