P. multocida (Pasteurella multocida) is animal-sourced gram-negative coccobacillus which can be transmitted to human through many animals including household pets. P. multocida induced peritoneal dialysis-related peritonitis has rarely been reported. In recent years, there has been an increase in the incidence of P. multocida induced peritoneal dialysis-related peritonitis, for the reason that patients with PD at home bred household pets. In this study, we present a case of a P. multocida induced peritoneal dialysis-related peritonitis, which is suspected to be caused through intimate contact with a household cat and we have reviewed 28 cases reported before and give suggestions for treatment and the way of prevention. A 75-year-old man with end-stage renal disease (ESRD) for nearly 5 years on continuous ambulatory peritoneal dialysis (CAPD) was admitted to the nephrology department with a 1-week history of abdominal pain and a cloudy peritoneal dialysis effluent. Based on the history, physical examination and laboratory results with the findings in the peritoneal dialysis fluid, a diagnosis of peritoneal dialysis-related peritonitis was confirmed. The final culture of initial peritoneal effluent results indicated the organism was P. multocida. After a 12-day antibiotic treatment, the condition of patient was not improved. The patient was switched to ampicillin/sulbactam (3 g intravenously) twice every day and the condition was improved significantly. On further inquiring, the patient reported that he had had a cat at home and when the patient did CAPD, the cat was usually playing with the tubing or contacting the patient during CAPD. In our case and reviewed cases, P. multocida induced peritoneal dialysis-related peritonitis could be cured by proper antibiotic treatment. If individuals keep the pet away from the PD process, the infection route may be severed. P. multocida induced peritoneal dialysis-related peritonitis does not need catheter removal and exchange with hemodialysis except long-time intractable peritonitis.

中文翻译：

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宠物相关的多杀性巴斯德氏菌在腹膜透析中诱发腹膜炎：一例病例并文献复习。

P. multocida（Pasteurella multocida）是源于动物的革兰氏阴性球菌，可通过包括家养宠物在内的许多动物传播给人类。很少有人报道多杀性疟原虫引起的腹膜透析相关性腹膜炎。近年来，由于PD患者在家中饲养家养宠物，致病性疟原虫引起的腹膜透析相关性腹膜炎的发病率增加。在这项研究中，我们介绍了一例多杀性疟原虫诱导的腹膜透析相关性腹膜炎，怀疑与亲猫密切接触引起，我们已复查了之前报道的28例病例，并提出了治疗建议和治疗方法预防。一名75岁的患有连续性非卧床腹膜透析（CAPD）且患有终末期肾脏病（ESRD）近5年的男子被送进肾脏病科，腹痛为1周，腹膜透析液浑浊。根据病史，体格检查和实验室检查结果以及在腹膜透析液中的发现，证实诊断为腹膜透析相关性腹膜炎。最初腹膜流出物结果的最终培养表明该生物是多杀性巴氏杆菌。经过12天的抗生素治疗，患者的病情没有得到改善。每天两次将患者改用氨苄西林/舒巴坦（静脉注射3 g），病情得到明显改善。经进一步询问，该患者报告说他在家中有一只猫，当患者进行CAPD时，猫在CAPD期间通常在玩管子或与患者接触。在我们的病例和经过回顾的病例中，通过适当的抗生素治疗可以治愈多杀性疟原虫诱发的腹膜透析相关的腹膜炎。如果个人让宠物远离PD程序，则感染路径可能会被切断。除长期顽固性腹膜炎外，P。multocida诱导的腹膜透析相关性腹膜炎不需要导尿管拆除和血液透析更换。