What is it about?
We present a case of a Japanese elderly male patient on peritoneal dialysis (PD) due to diabetic nephropathy who had refractory exit site infection. The pus obtained from exit site showed no bacteria on gram staining initially, but weakly gram-positive rods appered after 7 days of incubation and they were positive in acid-fast staining. Exit site infection due to rapid growing nontuberculous mycobacteria was suspected and Mycobacterium chelonae was finally isolated. The patient needed PD catheter removal to cure infection. After catheter removal, PD catheter was reinserted and the patient successfully reinitiated PD again.
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Why is it important?
Nontuberculous mycobacteriua (NTM) are rarely isolated from PD-associated catheter infections, buy they are usually refractory. We proposed importance of acid-fast staining to make a diagnose of NTM infections in patients on PD promptly.
Perspectives
Writing this article was great pleasure since there was only limited number of case report and review was available which described about exit site infection due to NTM.
Arata Hibi
Kariya Toyota General Hospital, Aichi, Japan
Read the Original
This page is a summary of: Exit Site Infection due to Mycobacterium chelonae in an Elderly Patient on Peritoneal Dialysis, Case Reports in Nephrology and Dialysis, January 2018, Karger Publishers,
DOI: 10.1159/000486159.
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