A Case of Nocardial Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis.
- Author:
Jee Hyoun PARK
1
;
Joo Hee AN
;
Byung Hoon LEE
;
Cheol Hong MIN
;
Eung Taek KANG
;
Suk Hee YU
Author Information
1. Department of Internal Medicine, College of Medicine, Chung-Ang University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Nocardia;
CAPD;
Peritonitis
- MeSH:
Amikacin;
Anti-Bacterial Agents;
Diagnosis;
Drug Therapy;
Humans;
Imipenem;
Korea;
Nocardia;
Peritoneal Dialysis;
Peritoneal Dialysis, Continuous Ambulatory*;
Peritonitis*
- From:Korean Journal of Nephrology
1997;16(4):836-839
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Norcardia is an aerobic, gram-positive, AFB positive filamentous organism which is frequently branching. Nocardial infection is usually opportunistic and is found in immunosuppressed patients during transplantation or anti-cancer chemotherapy. With the increasing number of AIDS, nocardial infection have been increasingly recognized as a serious human infection. Among patients on peritoneal dialysis, Nocardia is a rare cause of peritonitis : only one case has been reported in Korea. It is extremely important to make an early and correct diagnosis and treatment with susceptible antibiotics. We report here a case of nocardial peritonitis associated with Continuous Ambulatory Peritoneal Dialysis(CAPD) which was resistant to trimethoprim/sulfamethoxazole and has treated successfully with imipenem and amikacin.
