Mycobacterium phlei peritonitis: a rare complication of chronic peritoneal dialysis.
We report the first case of chronic ambulatory peritoneal dialysis-associated peritonitis caused by Mycobacterium phlei. This organism was isolated from the peritoneal fluid of a patient who presented with recurrent episodes of "culture-negative" peritonitis. The therapeutic regimen was based on previous experience with other rapidly growing atypical mycobacteria, and included removal of the Tenckhoff catheter, institution of hemodialysis, and anti-mycobacterial therapy with amikacin, cefoxitin, and doxycycline. This successfully eradicated the organism, and permitted subsequent cadaveric renal transplantation with routine immunosuppression.
Paul
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E
Division of Pediatric Nephrology, Yale University School of Medicine, New Haven, Connecticut, USA.
Devarajan
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P
D000293:Adolescent; D002404:Catheterization / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation / Q000502:physiology; D008297:Male; D009164:Mycobacterium Infections / Q000150:complications*; D009168:Mycobacterium phlei; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000295:instrumentation; D010538:Peritonitis / Q000209:etiology* / Q000382:microbiology