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Mycobacterium simiae: a previously undescribed pathogen in peritoneal dialysis peritonitis

Lookup NU author(s): Professor Neil Sheerin

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Abstract

Peritonitis is a major complication of peritoneal dialysis (PD). Coagulase-negative staphylococcus, Staphylococcus aureus , and Gram-negative bacteria cause the majority of these infections and usually are amenable to conventional antibiotic therapy, allowing continuation of PD. Mycobacterial and fungal peritonitis represent a more difficult clinical challenge. The infecting organism is often difficult to isolate and can rarely be eradicated without catheter removal. Immunocompromised patients are susceptible to opportunistic infection and, in the context of PD, may have PD peritonitis with different organisms from immunocompetent patients. Here the authors report for the first time PD peritonitis caused by Mycobacterium simiae , a nontuberculous mycobacterium, in a human immunodeficiency virus-positive patient. In addition the difficulty in diagnosing and managing nontuberculous PD peritonitis is discussed.


Publication metadata

Author(s): Keenan N, Jeyaratnam D, Sheerin NS

Publication type: Article

Publication status: Published

Journal: American Journal of Kidney Diseases

Year: 2005

Volume: 45

Issue: 5

Pages: e75-78

ISSN (print): 0272-6386

ISSN (electronic): 1523-6838

Publisher: WB Saunders Co.

URL: http://dx.doi.org/10.1053/j.ajkd.2005.01.040

DOI: 10.1053/j.ajkd.2005.01.040

Notes: Case Reports Journal Article United States the official journal of the National Kidney Foundation


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