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Abstract
[...]on day 4 of treatment, PD culture grew S. gallolyticus subsp. pasteurianus, which was resistant to clindamycin, erythromycin, trimethoprim/sulfamethoxazole, and tetracycline but sensitive to cephalexin and penicillin G. IP cloxacillin was then changed to IP penicillin G 50,000 U per 2 L dialysate bag.[2] They frequently inhabit the gastrointestinal tract of human and animals such as horses, cattle, pigs, and sheep.Besides its association with endocarditis and colorectal carcinoma, S. gallolyticus subsp. pasteurianus has been linked as a causative agent for meningitis and septicemia in patients with colonic carcinoma, cirrhosis, and chronic liver disease.[5] Our timely initiation of IP ceftazidime and cloxacillin and prompt revision of antibiotics therapy according to antibiogram on day 4 with IP penicillin G led to the successful treatment of peritonitis.