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KMID : 0882420140870010110
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Korean Journal of Medicine
2014 Volume.87 No. 1 p.110 ~ p.114
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A Case of Continuous Ambulatory Peritoneal Dialysis-Associated Peritonitis Caused by Mycobacterium abscessus
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Ann Hea-Won
Cho Yong-In
Han Sang-Hoon
Choi Jun-Yong
Song Young-Goo
Choi Kyu-Hun
Kim June-Myung
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Abstract
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Mycobacterium abscessus has been reported to cause opportunistic infections in immunocompromised patients. It is a very rare pathogen in continuous ambulatory peritoneal dialysis (CAPD)-associated peritonitis. However, we experienced a single case of peritonitis caused by M. abscessus in a patient on CAPD in South Korea. A 52-year-old female on CAPD for 9 years with a past history of recurrent CAPD-associated peritonitis presented with fever, abdominal pain and turbid peritoneal dialysate. CAPD-associated peritonitis did not improve with broad-spectrum antibiotic treatment, and pathogens were not detected in a routine peritoneal fluid bacterial culture. M. abscessus was isolated from a peritoneal fluid mycobacterial culture. The patient recovered after treatment with clarithromycin and levofloxacin for 24 months.
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KEYWORD
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Continuous ambulatory peritoneal dialysis, Mycobacterium abscessus, Peritonitis
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