A Case of Continuous Ambulatory Peritoneal Dialysis-Associated Peritonitis
Caused by Mycobacterium abscessus |
Hea Won Ann, Yong In Cho, Sang Hoon Han, Jun Yong Choi, Young Goo Song, Kyu Hun Choi, June Myung Kim |
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea |
Mycobacterium abscessus에 의해 발생한 지속적 외래 복막투석
관련 복막염 1예 |
안혜원, 조용인, 한상훈, 최준용, 송영구, 최규헌, 김준명 |
연세대학교 의과대학 내과학교실 |
Correspondence:
Sang Hoon Han, Tel: +82-2-2228-1991, Fax: +82-2-393-6884, Email: shhan74@yuhs.ac |
Received: 19 November 2012 • Revised: 16 July 2013 • Accepted: 11 October 2013 |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits
unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Abstract |
Mycobacterium abscessus has been reported to cause opportunistic infections in immunocompromised patients. It is a very rare
pathogen in continuous ambulatory peritoneal dialysis (CAPD)-associated peritonitis. However, we experienced a single case of
peritonitis caused by M. abscessus in a patient on CAPD in South Korea. A 52-year-old female on CAPD for 9 years with a past
history of recurrent CAPD-associated peritonitis presented with fever, abdominal pain and turbid peritoneal dialysate.
CAPD-associated peritonitis did not improve with broad-spectrum antibiotic treatment, and pathogens were not detected in a
routine peritoneal fluid bacterial culture. M. abscessus was isolated from a peritoneal fluid mycobacterial culture. The patient
recovered after treatment with clarithromycin and levofloxacin for 24 months. |
Key Words:
Continuous ambulatory peritoneal dialysis; Mycobacterium abscessus; Peritonitis |
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