Mycobacterium Porcinum Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis

Overview

Journal J Gen Intern Med

Publisher Springer

Specialty General Medicine

Date 2010 Nov 25

PMID 21104454

Citations 6

Authors

Ritesh Patil

Trupti Patil

Louis Schenfeld

Samuel Massoud

Affiliations

Soon will be listed here.

Abstract

Mycobacterium porcinum has been reported to cause a variety of illnesses including wound infections, respiratory tract infections, osteomyelitis and catheter-related bacteremias. We report the first case of M. porcinum peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD). A 67-year-old woman on CAPD presented with three weeks of constitutional symptoms and abdominal pain. Peritoneal fluid cultures on day three grew acid-fast rods. Nocardiosis was suspected and the patient was empirically treated with amikacin and trimethoprim-sulfamethoxazole. The dialysis catheter was removed. Two weeks later final culture results revealed M. porcinum. Ciprofloxacin and trimethoprim-sulfamethoxazole were initiated with good clinical response.

Citing Articles

Mycobacterium porcinum Disseminated Infection in Non-severely Immunocompromised Host.

Shah S, Zaidi K, Onyia W Cureus. 2024; 16(3):e55889.

PMID: 38595874 PMC: 11003393. DOI: 10.7759/cureus.55889.

Infection of Hilar and Mediastinal Lymph Nodes: A Case Report and Literature Review.

Wei W, Luo R, Chen Z, He J Infect Drug Resist. 2023; 16:7305-7311.

PMID: 38023396 PMC: 10676095. DOI: 10.2147/IDR.S432987.

Gene Sequencing and Phylogenetic Analysis: Powerful Tools for an Improved Diagnosis of Fish Mycobacteriosis Caused by Group Members.

Mugetti D, Tomasoni M, Pastorino P, Esposito G, Menconi V, Dondo A Microorganisms. 2021; 9(4).

PMID: 33920196 PMC: 8068823. DOI: 10.3390/microorganisms9040797.

Therapeutic drug monitoring in peritoneal dialysis: A case of nontuberculous mycobacterium catheter-related infection treated with amikacin.

Kojya S, Shiohira H, Sunagawa Y, Tsuneyoshi S, Kohagura K, Ohya Y Clin Case Rep. 2020; 8(6):995-998.

PMID: 32577250 PMC: 7303865. DOI: 10.1002/ccr3.2774.

causing panniculitis in the cat.

Cox A, Udenberg T Can Vet J. 2020; 61(1):39-43.

PMID: 31892752 PMC: 6909422.

References

Dalaman G, Haklar G, Sipahiu A, Ozener C, Akoglu E, Yalcin A . Early detection of peritonitis in continuous ambulatory peritoneal dialysis patients by use of chemiluminescence: evaluation of diagnostic accuracy by receiver-operating characteristic curve analysis. Clin Chem. 1998; 44(8 Pt 1):1680-4. View

Schinsky M, Morey R, Steigerwalt A, Douglas M, Wilson R, Floyd M . Taxonomic variation in the Mycobacterium fortuitum third biovariant complex: description of Mycobacterium boenickei sp. nov., Mycobacterium houstonense sp. nov., Mycobacterium neworleansense sp. nov. and Mycobacterium brisbanense sp. nov. and.... Int J Syst Evol Microbiol. 2004; 54(Pt 5):1653-1667. DOI: 10.1099/ijs.0.02743-0. View

Wong H, Ong L, Lim T, Hooi L, Morad Z, Ghazalli R . A randomized, multicenter, open-label trial to determine peritonitis rate, product defect, and technique survival between ANDY-Disc and UltraBag in patients on CAPD. Am J Kidney Dis. 2006; 48(3):464-72. DOI: 10.1053/j.ajkd.2006.05.008. View

Port F, Held P, Nolph K, Turenne M, Wolfe R . Risk of peritonitis and technique failure by CAPD connection technique: a national study. Kidney Int. 1992; 42(4):967-74. DOI: 10.1038/ki.1992.375. View

Malti J, Wellons D . CAPD: a dialysis breakthrough with its own burdens (continuing education credit). RN. 1988; 51(1):46-52. View

Piraino B, Bailie G, Bernardini J, Boeschoten E, Gupta A, Holmes C . Peritoneal dialysis-related infections recommendations: 2005 update. Perit Dial Int. 2005; 25(2):107-31. View

Paul E, Devarajan P . Mycobacterium phlei peritonitis: a rare complication of chronic peritoneal dialysis. Pediatr Nephrol. 1998; 12(1):67-8. DOI: 10.1007/s004670050407. View

Rho M, Bia F, Brewster U . Nontuberculous mycobacterial peritonitis in peritoneal dialysis patients. Semin Dial. 2007; 20(3):271-6. DOI: 10.1111/j.1525-139X.2007.00289.x. View

Chu K, Fung K, Tsang W, Chan H, Tong K . Nocardia peritonitis: satisfactory response to intraperitoneal trimethoprim-sulfamethoxazole. Perit Dial Int. 2003; 23(2):197-8. View

10.

Saklayen M . CAPD peritonitis. Incidence, pathogens, diagnosis, and management. Med Clin North Am. 1990; 74(4):997-1010. DOI: 10.1016/s0025-7125(16)30532-6. View

11.

Hakim A, Hisam N, Reuman P . Environmental mycobacterial peritonitis complicating peritoneal dialysis: three cases and review. Clin Infect Dis. 1993; 16(3):426-31. DOI: 10.1093/clind/16.3.426. View

12.

Wallace Jr R, Brown-Elliott B, Wilson R, Mann L, Hall L, Zhang Y . Clinical and laboratory features of Mycobacterium porcinum. J Clin Microbiol. 2004; 42(12):5689-97. PMC: 535230. DOI: 10.1128/JCM.42.12.5689-5697.2004. View

13.

Huang J, HUNG K, Yen C, Wu K, Tsai T . Comparison of infectious complications in peritoneal dialysis patients using either a twin-bag system or automated peritoneal dialysis. Nephrol Dial Transplant. 2001; 16(3):604-7. DOI: 10.1093/ndt/16.3.604. View

14.

Keenan N, Jeyaratnam D, Sheerin N . Mycobacterium simiae: a previously undescribed pathogen in peritoneal dialysis peritonitis. Am J Kidney Dis. 2005; 45(5):e75-8. DOI: 10.1053/j.ajkd.2005.01.040. View

15.

Nolph K, Cutler S, Steinberg S, Novak J . Continuous ambulatory peritoneal dialysis in the United States: a three-year study. Kidney Int. 1985; 28(2):198-205. DOI: 10.1038/ki.1985.141. View

16.

Fried L, Bernardini J, JOHNSTON J, Piraino B . Peritonitis influences mortality in peritoneal dialysis patients. J Am Soc Nephrol. 1996; 7(10):2176-82. DOI: 10.1681/ASN.V7102176. View

17.

Hevia C, Bajo M, Sanchez-Tomero J, Del Peso G, Fernandez-Perpen A, Millan I . Peritoneal catheter exit-site infections caused by rapidly-growing atypical mycobacteria. Nephrol Dial Transplant. 2000; 15(9):1458-60. DOI: 10.1093/ndt/15.9.1458. View

18.

Idigoras P, Jimenez-Alfaro J, Mendiola J . [Postoperative sternal osteomyelitis due to Mycobacterium porcinum]. Enferm Infecc Microbiol Clin. 2007; 25(1):68-9. DOI: 10.1016/s0213-005x(07)74231-3. View