title: Mycobacterium chelonae exit site infection in a patient on peritoneal dialysis.
abstract: Atypical mycobacterial infe tion of the Tenckhoff catheter exit site is rare. Eradication of the infection is often difficult without the removal of the Tenckhoff cath ter. We report here a case of Mycobacterium chelonae exit site infection in a peritoneal dialysis patient. He was treated with a combination regimen of prolonged antibiotics, local heat therapy, deroofing and shaving of the Tenckhoff catheter outer cuff. This resulted in the successful treatment of the infection without the need for removal of the Tenckhoff catheter. We recommend that this therapeutic approach could be considered in similar cases and that removal of Tenckhoff catheter is not mandatory.
authors.affiliation: Department of Medicine, Tuen Mun Hospital, Hong Kong, China.
authors.forename: Y P
authors.initials: YP
authors.lastname: Siu
authors.forename: K T
authors.initials: KT
authors.lastname: Leung
authors.forename: M K H
authors.initials: MK
authors.lastname: Tong
authors.forename: M K F
authors.initials: MK
authors.lastname: Lee
mesh_terms: D000900:Anti-Bacterial Agents; D002404:Catheterization / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000382:microbiology*; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000209:etiology*; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000900:Anti-Bacterial Agents