A cluster of rapidly growing mycobacterial peritoneal dialysis catheter exit-site infections

In this case series, a cluster of 5 consecutive peritoneal dialysis patients with atypical mycobacterial exit-site infections in a single center within 20 months are described. Clinical features, treatment, and outcomes are discussed. Most patients had been treated with prolonged systemic antibiotic...

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Bibliographic Details
Published inAmerican journal of kidney diseases Vol. 50; no. 1; p. e1
Main Authors Tse, Kai-Chung, Lui, Sing-Leung, Cheng, Vincent Chi-Chung, Yip, Terence Pok-Siu, Lo, Wai Kei
Format Journal Article
LanguageEnglish
Published United States 01.07.2007
Subjects
Adult
Aged
Catheters, Indwelling - adverse effects
Catheters, Indwelling - microbiology
Female
Humans
Male
Middle Aged
Mycobacterium chelonae - isolation & purification
Mycobacterium fortuitum - isolation & purification
Mycobacterium Infections, Nontuberculous - etiology
Mycobacterium Infections, Nontuberculous - microbiology
Peritoneal Dialysis, Continuous Ambulatory - adverse effects
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Summary:In this case series, a cluster of 5 consecutive peritoneal dialysis patients with atypical mycobacterial exit-site infections in a single center within 20 months are described. Clinical features, treatment, and outcomes are discussed. Most patients had been treated with prolonged systemic antibiotic therapy for recurrent bacterial exit-site infections in the preceding months, and all had used topical gentamicin ointment for exit-site infection treatment or prophylaxis. It is postulated that this might have predisposed them to atypical mycobacterial exit-site infection as a result of selection pressure on uncommon organisms.
ISSN:1523-6838
DOI:10.1053/j.ajkd.2007.04.017