Recurrent Shewanella putrefacians in a chronic peritoneal dialysis patient

The gram-negative marine bacterium Shewanella putrefaciens is an uncommon human pathogen. Five cases of S. putrefacians peritonitis during peritoneal dialysis (one acute and four chronic) have been reported previously. We report a case of S. putrefaciens peritonitis in a patient undergoing continuous cycler peritoneal dialysis. Our case is the first to be reported in a patient from the United States, with recurrence after initial treatment, and with acquired antibiotic resistance. Dial. Transplant.