복막투석 환자에서 발생한 Tsukamurella tyrosinosolvens 복막염 1예
A case of Tsukamurella tyrosinosolvens peritonitis associated with continuous ambulatory peritoneal dialysis
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초록
복막염은 지속적 외래 복막투석 환자에서 가장 흔한 감염성 합병증이다. Tsukamurella 속에 의한 복막염은 외국에 2예의 보고가 있었으나 국내에는 아직 보고된 증례가 없기에 문헌고찰과 함께 저자들이 경험한 증례를 보고하는 바이다. Tsukamurella속은 정확한 균주의 동정이 어렵고 고식적인 항균제 치료에 반응을 보이지 않기 때문에 난치성 복막염에서 항산성의 균이 관찰되거나 그람 양성 간균이 반복적으로 동정되었을 때 Tsukamurella 속을 원인 균으로서 생각해 보아야 하며 근절을 위해서는 복막 투석용 도관의 제거를 고려하여야 한다.
Abstract
A case of Tsukamurella peritonitis associated with continuous ambulatory peritoneal dialysis (CAPD) in a 54-year-old woman is described. Peritonitis is a common complication of peritoneal dialysis in patients with end-stage renal disease. Tsukamurella has been reported to cause rare opportunistic infections in humans, and most cases have been reported in immunocompromised patients or patients with indwelling foreign bodies. This organism is difficult to identify and has been mistaken for Corynebacterium and atypical Mycobacteria. Here, we describe the first case of CAPD-related peritonitis caused by Tsukamurella tyrosinosolvens in Korea. It was treated with CAPD catheter removal.
참고문헌 (16)
- Popovich RP, "The definition of novel portable wearable equilibrium peritoneal dialysis technique", Trans Am Soc Artif Intern Organs, 5, pp.64~ (1976)
- Tsukamura M, "Lung infection caused by Gordona aurantiaca (Rhodococcus aurantiacus)", J Clin Microbiol, 16, pp.604~607 (1982)
- Casella P, "Peritonite da Gordona aurantiaca in dialisi peritoneale ambulatorie continua", Microbiol Med, 2, pp.47~48 (1987)
- Shaer AJ, "Tsukamurella peritonitis associated with continuous ambulatory peritoneal dialysis", Clin Nephrol, 56, pp.241~246 (2001)
- Collins MD, "Tsukamurella gen. Nov. harboring corynebacterium paurometabolum and rhodococcus aurantiacus", Int J Syst Bacteriol, 38, pp.385~391 (1988)
- Tsukamura M, "Proporsal of a new genus, Gordona, for slightly acid-fast organisms occurring in sputa of patient with pulmonary disease", J Gen Microbiol 68:15-26, 1971, 68, pp.15~26 (1971)
- Shapiro CL, "Tsukamurella paurometabolum: a novel pathogen causing catheter-related bacteremia in patients with cancer", Clin Infect Dis, 14, pp.200~203 (1992)
- Rey D, "Tsukamurella infections: review of the literature a propos of a case", Pathol Biol, 45, pp.60~65 (1997)
- Auerbach SB, "Outbreak of pseudoinfection with Tsukamurella paurometabolum traced to laboratory contamination: efficacy of joint epidemiological and laboratory investigation", Clin Infect Dis, 14, pp.1015~1022 (1992)
- Tsukamura M, "Severe progressive subcutaneous abscesses and necrotizing tenosynovitis caused by Rhodococcus aurantiacus", J Clin Microbiol, 26, pp.201~205 (1988)
- Prinz G, "Meningitis caused by Gordona aurantiaca", J Clin Microbiol, 22, pp.472~474 (1985)
- Granel F, "Cutaneous infection caused by Tsukamurella paurometabolum", Clin Infect Dis, 23, pp.839~840
- Larkin JA, "Infection of a knee prosthesis with Tsukamurella species", South Med J, 92, pp.831~832 (1999)
- Jones RS, "Persistent bacteremia due to Tsukamurella paurometabolum in a patient undergoing hemodialysis: case report and review", Clin Infect Dis, 18, pp.830~832
- Chong Y, "Tsukamurella inchonensis bacteremia in a patient who ingested hydrochloric acid", Clin Infect Dis, 24, pp.1267~1268 (1997)
- Fox L, "Infections inpatients on continuous ambulatory peritoneal dialysis. In Principles and practice of dialysis", pp.437~456 (1994), Williams and Wilkins