NONTUBERCULOUS MYCOBACTERIAL PERITONITIS DURING CONTINUOUS AMBULATORY PERITONEAL-DIALYSIS - CASE-REPORT AND REVIEW OF DIAGNOSTIC AND THERAPEUTIC STRATEGIES

被引:24
|
作者
DUNMIRE, RB
BREYER, JA
机构
[1] Division of Nephrology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee
关键词
NONTUBERCULOUS MYCOBACTERIA; PERITONEAL DIALYSIS; PERITONITIS; END-STAGE RENAL DISEASE; RAPIDLY GROWING MYCOBACTERIA; CHRONIC-RENAL-FAILURE; TUBERCULOUS PERITONITIS; FORTUITUM PERITONITIS; CHELONEI PERITONITIS; AVIUM-INTRACELLULARE; PATIENT; SUSCEPTIBILITY; DISEASES; CAPD;
D O I
10.1016/S0272-6386(12)80303-9
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Nontuberculous mycobacteria (NTM) are responsible for an increasing proportion of mycobacterial disease. Peritonitis due to NTM is an unusual but treatable complication of continuous ambulatory peritoneal dialysis (CAPD). Its presentation is similar to that of typical bacterial peritonitis, but special culture techniques are required to avoid a delay in diagnosis. Successful treatment depends on early catheter removal, drainage of fluid collections, and appropriate use of antimicrobial agents. We report a case of Mycobacterium fortuitum peritonitis in a patient undergoing CAPD, and review all previously reported cases. Diagnostic and therapeutic strategies are summarized based on available literature. © 1991, National Kidney Foundation, Inc.. All rights reserved.
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页码:126 / 130
页数:5
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