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Korean J Med > Volume 87(1); 2014 > Article
The Korean Journal of Medicine 2014;87(1): 110-114.
Mycobacterium abscessus에 의해 발생한 지속적 외래 복막투석 관련 복막염 1예
안혜원, 조용인, 한상훈, 최준용, 송영구, 최규헌, 김준명
연세대학교 의과대학 내과학교실
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
Corresponding Author: Sang Hoon Han ,Tel: +82-2-2228-1991, Fax: +82-2-393-6884, Email: shhan74@yuhs.ac
Received: November 19, 2012;   Revised: July 16, 2013;   Accepted: October 11, 2013.
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.
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.
Keywords: Continuous ambulatory peritoneal dialysis; Mycobacterium abscessus; Peritonitis
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