-
Case Report
-
Korean J Med. 2014;87(1):110-114. Published online July 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.1.110
- 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.
-
- 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.
Keywords :Continuous ambulatory peritoneal dialysis, Mycobacterium abscessus, Peritonitis
