Abstract
Nontuberculous mycobacterial infections of peritoneal dialysis catheter exit sites have rarely been reported in patients on peritoneal dialysis. We report here a case of Mycobacterium abscessus exit site infection with abdominal wall abscess formation in an adolescent on peritoneal dialysis, which required long-term antibiotic therapy, peritoneal dialysis catheter removal, and surgical debridement of the abscess. Nontuberculous mycobacteria should be considered as a possible causative organism for an exit site infection that fails to respond to usual antibiotic therapy. Nontuberculous mycobacterial exit site infections may require peritoneal dialysis catheter removal and surgical debridement.
References
Warady BA, Schaefer F, Holloway M, Alexander S, Kandert M, Piraino B, Salusky I, Traneus A, Divio J, Honda M, Mujals S, Verrina E (2000) Consensus guidelines for the treatment of peritonitis in pediatric patient receiving peritoneal dialysis. Perit Dial Int 20:610–624
Lew SQ, Kaveh K (2000) Dialysis access related infections. ASAIO J 46:S6–S12
Centers for Disease Control and Prevention (1996) Infection with Mycobacterium abscessus associated with intramuscular injection of adrenal cortex extract-Colorado and Wyoming, 1995–1996. JAMA 276:1130
Band JD, Ward JI, Fraser DW, Peterson NJ, Silcox VA, Good RC, Ostroy PR, Kennedy J (1982) Peritonitis due to a Mycobacterium chelonei-like organism associated with intermittent chronic peritoneal dialysis. J Infect Dis 145:9
Pulliam JP, Vernon DD, Alexander SR, Hartstein AI, Golper TA (1983) Nontuberculous mycobacterial peritonitis associated with continuous ambulatory peritoneal dialysis. Am J Kidney Dis 2:610–614
Youmbissi JT, Malik QT, Ajit SK, Al Khursany IA, Karkar A (2001) Non tuberculous mycobacterium peritonitis is continuous ambulatory peritoneal dialysis. J Nephrol 14:132–135
Ferrara E, Lemire J, Grimm PC, Reznik VM, Mendoza SA, Leake JA, Benador NM (2004) Mycobacterial peritonitis in pediatric peritoneal dialysis patients. Pediatr Nephrol 19:114–117
Viguera J, Oliva JA, Pascual R, Lens XM, Carrio J, Mallafre JM (1990) Mycobacterium fortuitum in patients with chronic renal insufficiency: apropos of two cases. Enferm Infecc Microbiol Clin 8:286–288
White R, Abreo K, Flanagan F, Gadallah M, Krane K, el-Shahawy M, Shakamuri S, McCoy R (1993) Nontuberculous mycobacterial infections in continuous ambulatory peritoneal dialysis patients. Am J Kidney Dis 22:581–587
Gehr TW, Walters BA (1994) Catheter-related Mycobacterium chelonei infection in a CAPD patient. Perit Dial Int 14:278–288
Hevia C, Bajo MA, Sanchez-Tomero JA, del Peso G, Fernandez-Perpen A, Millan I, Aguilera A, Selgas R (2000) Peritoneal catheter exit-site infections causes by rapidly-growing atypical mycobacteria. Nephrol Dial Transplant 15:1458–1460
Kleinpeter MA, Krane NK (2001) Treatment of mycobacterial exit-site infections in patients on continuous ambulatory peritoneal dialysis. Adv Perit Dial 17:172–175
Loeffler AM (2004) Treatment options for nontuberculous mycobacterial adenitis in children. Pediatr Infect Dis J 23:957–958
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ellis, E.N., Schutze, G.E. & Wheeler, J.G. Nontuberculous mycobacterial exit-site infection and abscess in a peritoneal dialysis patient. Pediatr Nephrol 20, 1016–1018 (2005). https://doi.org/10.1007/s00467-005-1870-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00467-005-1870-4