Abstract
Peritonitisremainsaseriouscomplicationinpatientsundergoingperitonealdialysis,oftencausedbycommonorganismssuchasStaphylococcusaureus.However,rarepathogensmayalsoplayarole.Wereportacaseofperitonitisina41-year-oldfemaleoncontinuousambulatoryperitonealdialysis,inwhomPluralibactergergoviaewasidentifiedasthecausativeorganism.Thepatientpresentedwithabdominalpainandcloudydialysatebutremainedhemodynamicallystable.Peritonealfluidanalysisrevealedelevatedwhitecellcounts,andculturePluralibactergergoviae,whichwassensitivetomultipleantibiotics.Initialempirictherapywasadjustedaccordingly,leadingtoclinicalandlaboratoryimprovement.ThisisthesecondreportedcaseofPluralibactergergoviae-relatedperitonitisintheliterature.Thiscaseunderscorestheimportanceofrecognizinguncommonpathogensinperitonealdialysis-relatedinfectionsandtheroleofpromptmicrobiologicaldiagnosisinguidingtargetedtherapy.Increasedawarenessandreportingofsuchcasesareessentialtoenhanceunderstandingandoptimizepatientmanagement.
