Skip to main content

Advertisement

Log in

Nontuberculous mycobacterial exit-site infection and abscess in a peritoneal dialysis patient

A case report and review of the literature

  • Brief Report
  • Published:
Pediatric Nephrology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. 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

    CAS  PubMed  Google Scholar 

  2. Lew SQ, Kaveh K (2000) Dialysis access related infections. ASAIO J 46:S6–S12

    Article  CAS  PubMed  Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. 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

    CAS  PubMed  Google Scholar 

  5. 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

    CAS  PubMed  Google Scholar 

  6. 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

    CAS  PubMed  Google Scholar 

  7. 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

    Article  PubMed  Google Scholar 

  8. 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

    CAS  PubMed  Google Scholar 

  9. 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

    CAS  PubMed  Google Scholar 

  10. Gehr TW, Walters BA (1994) Catheter-related Mycobacterium chelonei infection in a CAPD patient. Perit Dial Int 14:278–288

    CAS  PubMed  Google Scholar 

  11. 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

    Article  CAS  PubMed  Google Scholar 

  12. Kleinpeter MA, Krane NK (2001) Treatment of mycobacterial exit-site infections in patients on continuous ambulatory peritoneal dialysis. Adv Perit Dial 17:172–175

    CAS  PubMed  Google Scholar 

  13. Loeffler AM (2004) Treatment options for nontuberculous mycobacterial adenitis in children. Pediatr Infect Dis J 23:957–958

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eileen N. Ellis.

Rights and permissions

Reprints 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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00467-005-1870-4

Keywords

Navigation