Mycobacterium avium complex‐associated peritonitis with CAPD after unrelated bone marrow transplantation

Peritonitis remains an important complication of peritoneal dialysis and is mostly caused by aerobic enteric bacteria. Non‐tuberculous mycobacteria (NTM)‐associated peritonitis is an unusual but serious infection, requiring special culture techniques to avoid delay in diagnosis. We report the case o...

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Published inPediatrics international Vol. 56; no. 6; pp. e96 - e98
Main Authors Miyashita, Emiko, Yoshida, Hisao, Mori, Daisuke, Nakagawa, Natsuki, Miyamura, Takako, Ohta, Hideaki, Seki, Masafumi, Tomono, Kazunori, Hashii, Yoshiko, Ozono, Keiichi
Format Journal Article
LanguageEnglish
Published Australia Blackwell Publishing Ltd 01.12.2014
Subjects
Anemia, Aplastic - complications
Anemia, Aplastic - therapy
Bone marrow
Bone Marrow Transplantation - adverse effects
B‐cell
Child
Female
Humans
immunosuppression
Infections
Mycobacterium avium
Mycobacterium avium Complex
non‐tuberculous mycobacteria
Pediatrics
Peritoneal dialysis
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis - etiology
Renal Insufficiency - complications
Renal Insufficiency - therapy
Transplants & implants
B-cell
immunosuppression
non-tuberculous mycobacteria
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Summary:Peritonitis remains an important complication of peritoneal dialysis and is mostly caused by aerobic enteric bacteria. Non‐tuberculous mycobacteria (NTM)‐associated peritonitis is an unusual but serious infection, requiring special culture techniques to avoid delay in diagnosis. We report the case of an 11‐year‐old girl with aplastic anemia on ambulatory peritoneal dialysis who had Mycobacterium avium complex‐associated peritonitis after allogeneic hematopoietic stem cell transplantation (allo‐HSCT). This case emphasizes that we should be constantly cautious about NTM infection in allo‐HSCT recipients, especially when standard cultures are negative and the infection is refractory to empirical antibiotic therapy.
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ISSN:1328-8067
1442-200X
DOI:10.1111/ped.12463