First report of Kocuria marina spontaneous peritonitis in a child

BMC Infectious Diseases

Laurence Lacroix⁴  Barbara E Wildhaber¹  Alain Gervaix³  Noémie Wagner²  Arnaud G L’Huillier²  Gabriel Brändle⁴ 

[1] Pediatric Surgery, Child and Adolescent Department, University Hospitals of Geneva, Rue Willy Donzé 6, Geneva, 1205, Switzerland;Pediatric Infectious Diseases, Child and Adolescent Department, University Hospitals of Geneva, Rue Willy Donzé 6, Geneva, 1205, Switzerland;Pediatric Emergency Medicine, Child and Adolescent Department, University Hospitals of Geneva, Avenue de la Roseraie 47, Geneva 14, CH-1211, Switzerland;Present address: Service d’Accueil et d’Urgences Pédiatriques, Hôpitaux Universitaires des Genève, Avenue de la Roseraie 47, Geneva 14, CH-1211, Switzerland

关键词: Kocuria marina;    Kocuria;    Pediatrics;    Primary peritonitis;    Spontaneous bacterial peritonitis;   

Others  :  1090154
DOI  :  10.1186/s12879-014-0719-5

 received in 2014-06-29, accepted in 2014-12-15,  发布年份 2014

【 摘 要 】

Background

Spontaneous 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 presentation

A 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.

Conclusion

The 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.

【 授权许可】

   
2014 Brändle et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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