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지속적외래복막투석 환자에서 발생한 Mycobacterium abscessus 에 의한 출구 감염 및 농양 1예

A Case of Exit-Site Infection and Abscess by Mycobacterium Abscessus in a CAPD Patient

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초록

Nontuberculous mycobacterial infections are a rare, but clinically important cause of infections in continuous ambulatory peritoneal dialysis (CAPD) patients. This is typically suspected when a patient does not respond to treatment with the usual antibiotics. We describe here a case of Mycobacterium abscessus exit site infection with abdominal wall abscess formation that was associated with CAPD, which required peritoneal catheter removal, surgical debridement of the abscess and long term antibiotic therapy.

Abstract

Nontuberculous mycobacterial infections are a rare, but clinically important cause of infections in continuous ambulatory peritoneal dialysis (CAPD) patients. This is typically suspected when a patient does not respond to treatment with the usual antibiotics. We describe here a case of Mycobacterium abscessus exit site infection with abdominal wall abscess formation that was associated with CAPD, which required peritoneal catheter removal, surgical debridement of the abscess and long term antibiotic therapy.

참고문헌 (11)

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  2. White R, "Nontuber- culous mycobacterial infections in continuous ambulatory peritoneal dialysis patients", Am J Kidney Dis, 22(4), pp.581~587 (1993)
  3. Siu YP, "Mycobacterium chelonae exit site infection in a patient on peritoneal dialysis", Clin Nephrol, 63(4), pp.321~324 (2005)
  4. Ellis EN, "Nontuber- culous mycobacterial exit-site infection and abscess in a peritoneal dialysis patient. A case report and review of the literature", Ped Nephrol, 20(7), pp.1016~1018 (2005)
  5. C. Fordham von Reyn, "Harrison's principles of internal medicine", Mc Graw Hill
  6. 류남희, "Mycobacterium abscessus에 의한 피부 및 연조직 감염 1예", Annals of Clinical Microbiology, 8(2), pp.198~201 (2005), 대한임상미생물학회
  7. 류숙원, "Mycobacterium abscessus에 의한 슬관절 감염 1예", Korean J Clin Pathol, 21(5), pp.371~376 (2001)
  8. Tse KC, "A cluster of rapidly growing mycobacterial peritoneal dialysis catheter exitsite infections", Am J Kidney Dis, 50(1), pp.e1~e5 (2007)
  9. Rho M, "Nontuberculous mycobacterial peritonitis in peritoneal dialysis patients", Semin Dial, 20(3), pp.271~276 (2006)
  10. Hakim A, "Environmental mycobacterial peritonitis complicating peritoneal dialysis: three cases and review", Clin Infect Dis, 16(3), pp.426~431 (1993)
  11. Phillips MS, "Nosocomial infections due to nontuberculous mycobacteria", Clin Infect Dis, 33(8), pp.1363~1374 (2001)

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