White tide

Infectious problems, such as exit-site infection and peritonitis, are common complications of peritoneal dialysis (PD). Peritonitis is usually bacterial and either caused by gram-positive organisms as a sequel to handling errors or by gram-negative bacteria as a result of underlying gastrointestinal pathology. Several antibiotic guidelines have been formulated. We present a case of PD peritonitis that provided an interesting challenge after cultures grew a rare organism. We discuss the case with an emphasis on rare organisms and the factors associated with these infections.