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Actinomyces neuii is a rare cause of peritoneal dialysis-related peritonitis.
A 66-year-old male had end-stage renal disease on peritoneal dialysis treatment for 30 months. He developed exit-site leak with infection. Diphtheroids were isolated and considered initially as skin commensals. Dialysis treatment was suspended and on reinstitution he developed peritoneal dialysis-related peritonitis. The organism isolated from the peritoneal dialysis fluid was A. neuii.
This case was treated successfully with peritoneal dialysis catheter removal and oral amoxicillin.
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