A Case of Continuous Ambulatory Peritoneal Dialysis-Associated Peritonitis Caused by Mycobacterium abscessus.
- Author:
Hea Won ANN
1
;
Yong In CHO
;
Sang Hoon HAN
;
Jun Yong CHOI
;
Young Goo SONG
;
Kyu Hun CHOI
;
June Myung KIM
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. shhan74@yuhs.ac
- Publication Type:Case Report
- Keywords:
Continuous ambulatory peritoneal dialysis;
Mycobacterium abscessus;
Peritonitis
- MeSH:
Abdominal Pain;
Ascitic Fluid;
Clarithromycin;
Female;
Fever;
Humans;
Immunocompromised Host;
Korea;
Levofloxacin;
Middle Aged;
Mycobacterium*;
Opportunistic Infections;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis*
- From:Korean Journal of Medicine
2014;87(1):110-114
- CountryRepublic of Korea
- Language:Korean
-
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.
