We present the first report of a patient with peritoneal dialysis (PD)-related peritonitis due to Clostridium ramosum, an anaerobe bacterium that is commonly found in normal fecal flora. On rare occasions, it can be pathogenic in immunocompromised individuals. Clostridium species, including Clostridium ramosum, should be included in the differential diagnosis of PD-related peritonitis.
AlexanderC.J., CitronD.M., BrazierJ.S., GoldsteinE.J.C.Identification and antimicrobial resistance patterns of clinical isolates of Clostridium clostridioforme, Clostridium innocuum, and Clostridium ramosum compared with those of clinical isolates of Clostridium perfringens.Microbiology1995; 33(12): 3209–15.
2.
JohnsonM.J., ThatcherE., CoxM.E.Techniques for controlling variability in Gram staining of obligate anaerobes.J Clin Microbiol1995; 33(3): 755–8.
3.
SendaS., FujiyamaY., UshijimaT., HodoharaK., BambaT., HosodaS.Clostridium ramosum, an IgA protease-producing species and its ecology in the human intestinal tract.Microbiol Immunol1985; 29(11): 1019–28.
4.
BrookI.Clostridial infection in children.J Med Microbiol1995; 42(2): 78–82.
5.
LavigneJ.P., BouzigesN., SottoA., LerouxJ.L., Michaux-CharachonS.Spondylodiscitis due to Clostridium ramosum infection in an immuno-competent elderly patient.J Clin Microbiol2003; 41(5): 2223–6.
6.
ForresterJ.D., SpainD.A.Clostridium ramosum bacteremia: case report and literature review.Surg Infect2014; 15(3): 343–6.
7.
NordC.E., HedbergM.Resistance to β–lactam antibiotics in anaerobic bacteria.Rev Infect Dis1990; 12: S231–4.
8.
TallyF.P., ArmfieldA.Y., DowellV.R., KwokY.Y., SutterV.L., FinegoldS.M.Susceptibility of Clostridium ramosum to antimicrobial agents.Antimicrob Agents Chemother1974; 5(6): 589–93.
9.
RunyonB.A.AASLD Practice Guidelines Committee. Management of adult patients with ascites due to cirrhosis: update 2012.Hepatology2013; 57(4): 1651–3.
10.
DubreuilL., DevosJ., RomondC., BryskierA.Sensitivity of obligate anaerobes to ofloxacin, pefloxacin, enoxacin and norfloxacin.Pathol Biol1985; 421–5.