| A case of Burkholderia cepacia peritonitis in a patient on CAPD |
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Hyung Min Kang, Jae Eun Park, Hyoung Don Lee, Bong Jun Han, Su Hyun Kim, Suk Ho Shin, Su Jin Yoon |
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Seoul National University College of Medicine |
| 복막투석 환자에서 발생한 Burkholderia cepacia 복막염 1예 |
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강형민, Jae Eun Park, Hyoung Don Lee, Bong Jun Han, Su Hyun Kim, Suk Ho Shin, Su Jin Yoon |
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| Abstract |
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Burkholderia cepacia is an important opportunistic pathogen in immunocompromised and nosocomial patients, but this bacterial infection is rare in Korea. We report a case of Burkholderia cepacia peritonitis in a patient on CAPD. A 69-year-old male on CAPD for 5 years was presented with turbid peritoneal dialysate, diffuse abdominal pain and diarrhea. He was treated initially with intraperitoneal cefazolin and ceftazidime, and then intraperitoneal meropenem and oral TMP/SMX. His symptoms had improved with antibiotic treatment, but white blood cell counts of dialysate
increased, instead. Burkholderia cepacia was isoloated from peritoneal fluid culture. The patient refused catheter removal in spite of our recommendation. He died of suddenly developed acute myocardial infarction and upper gastrointestinal bleeding. Catether tip culture also revealed Burkholderia cepacia.
Key Words : Burkholderia cepacia, Peritoneal dialysis, Peritonitis |
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