Hong Kong Journal of Nephrology

Volume 5 Number 2, 2003

Mycobacterium fortuitum Peritonitis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis

Takashi Ando, Munekazu Ryuzaki, Michiko Handa, Tsunejiro Sekita, Takashi Sakurai1

We report here one case of Mycobacterium fortuitum peritonitis in a patient undergoing continuous ambulatory peritoneal dialysis (CAPD). Owing to scarce clinical findings specific for this infection, the catheter was removed and CAPD abandoned. Clinicians must consider this type of organism if refractory peritonitis is encountered. Precise and prompt diagnosis and commencement of adequate antibiotic(s) may alter the prognosis of this disease. [Hong Kong J Nephrol 2003;5(2):101-4]

Key words: Mycobacterium fortuitum, peritonitis

本文對一位在接受連續可活動性腹膜透析(CAPD)期間出現 Mycobacterium fortuitum 腹膜炎的病人作出報告。基於這種感染少會產生特定的臨床表徵,病人最後得接受導管的移除,並中止 CAPD 治療。因此,若 CAPD 病人出現頑抗性腹膜炎,醫師應考慮 Mycobacterium fortuitum 腹膜炎的可能性,以利早期診斷與抗生素治療的進行,從而改善病人的預後。

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