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Kang, Kim, Park, Lim, and Lee: A Case Report of Mycobacterium abscessus Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis
Original Article

Ann Clin Microbiol 2013;16(2):101-104.

Published online: 5 June 2013

DOI: https://doi.org/10.5145/ACM.2013.16.2.101

A Case Report of Mycobacterium abscessus Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis

Seon Joo Kang1, Heungsoo Kim2, Kyoung Un Park3, Young Ae Lim1, Wee Gyo Lee1

1Department of Laboratory Medicine, Ajou University School of Medicine, Suwon, Korea

2Department of Nephrology, Ajou University School of Medicine, Suwon, Korea

3Department of Laboratory Medicine, Seoul National University Bundang Hospital, Seongnam, Korea

Correspondence: Wee Gyo Lee, Department of Laboratory Medicine, Ajou University School of Medicine, San-5, Woncheon-dong, Yeongtong-gu, Suwon 433-721, Korea. (Tel) 82-31-219-5785, (Fax) 82-31-219- 5778, (E-mail) weegyo@ajou.ac.kr

Received 11 January 20132 April 2013       Accepted 2 April 2013

Copyright © 2013 The Korean Society of Clinical Microbiology

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

Mycobacterium is an uncommon cause of peritonitis in patients receiving peritoneal dialysis (PD), and the incidence of nontuberculous mycobacterium (NTM) peritonitis is even rarer since the majority of mycobacterial peritonitis cases are caused by Mycobacterium tuberculosis. However, NTM peritonitis has been known to result in a high mortality rate with delayed diagnosis and treatment. In this study, we report a case of Mycobacterium abscessus peritonitis in a 52- year-old male under continuous ambulatory peritoneal dialysis (CAPD).

Keywords: Continuous ambulatory peritoneal dialysis, Nontuberculous mycobacterium, Peritonitis

REFERENCES

1.Brown-Elliott BA., Wallace RJ Jr. Clinical and taxonomic status of pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria. Clin Microbiol Rev. 2002. 15:716–46.
crossref
2.Galil K., Miller LA., Yakrus MA., Wallace RJ Jr., Mosley DG., England B, et al. Abscesses due to Mycobacterium abscessus linked to injection of unapproved alternative medication. Emerg Infect Dis. 1999. 5:681–7.
3.Yim JJ., Oh MD., Yoo CG., Song YW., Kim YW., Seo JW, et al. A case of Mycobacterium abscessus pneumonia in a patient with systemic lupus erythematosus. Tuberc Respir Dis. 1999. 46:96–102.
4.Koh WJ., Kwon OJ., Kang EH., Jeon IS., Pyun YJ., Ham HS, et al. Clinical and radiographic characteristics of 12 patients with Mycobacterium abscessus pulmonary disease. Tuberc Respir Dis. 2003. 54:45–56.
5.Kim HS., Park HJ., Lee JY., Cho BK. Twelve cases of cutaneous infection by Mycobacterium abscessus: Review on its treatment modality. Korean J Dermatol. 2005. 43:1603–9.
6.Jung SY., Na JH., Cho KH., Park JW., Do JY., Yun KW, et al. A case of exit-site infection and abscess by Mycobacterium abscessus in a CAPD patient. Yeungnam Univ J Med. 2009. 26:137–43.
7.Ryoo SW., Shin S., Shim MS., Park YS., Lew WJ., Park SN, et al. Spread of nontuberculous mycobacteria from 1993 to 2006 in Koreans. J Clin Lab Anal. 2008. 22:415–20.
crossref
8.Song Y., Wu J., Yan H., Chen J. Peritoneal dialysis-associated nontuberculous mycobacterium peritonitis: a systematic review of reported cases. Nephrol Dial Transplant. 2012. 27:1639–44.
crossref
9.Ding LW., Lai CC., Lee LN., Hsueh PR. Abdominal nontuberculous mycobacterial infection in a university hospital in Taiwan from 1997 to 2003. J Formos Med Assoc. 2006. 105:370–6.
crossref
10.Renaud CJ., Subramanian S., Tambyah PA., Lee EJ. The clinical course of rapidly growing nontuberculous mycobacterial peritoneal dialysis infections in Asians: A case series and literature review. Nephrology (Carlton). 2011. 16:174–9.
crossref
11.Rho M., Bia F., Brewster UC. Nontuberculous mycobacterial peritonitis in peritoneal dialysis patients. Semin Dial. 2007. 20:271–6.
12.Kameyama H., Mori Y., Kimura T., Sugishita C., Adachi T., Sono-mura K, et al. A case report of Mycobacterium abscessus peritonitis in a peritoneal dialysis patient. Ther Apher Dial. 2007. 11:449-.

Fig. 1.
Smear of a peritoneal dialysis fluid specimen stained with Ziehl- Neelsen stain (A, ×1,000) and colonies of Mycobacterium abscessus grown on Ogawa medium (B).
acm-16-101f1.tif
Table 1.
Drug susceptibility pattern of M. abscessus isolate
Agent MIC (μ g/mL) Results
Amikacin 16 S
Cefoxitin 32 I
Ciprofloxacin ＞16 R
Clarithromycin 1,＞64 IR
Doxycycline ＞32 R
Imipenem 8 I
Moxifloxacin 16 R
Trimethoprime/Sulfamethoxazole 16/304 R
Linezolid 8 S

Abbreviations: MIC, minimum inhibitory concentration; S, susce-ptible; I, intermediate resistance; R, resistant; IR, inducible resistance.

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