title: Nontuberculous mycobacterial exit-site infection and abscess in a peritoneal dialysis patient. A case report and review of the literature.
abstract: Nontuberculous mycobacterial infections of peritoneal dialysis catheter exit sites have rarely been reported in patients on peritoneal dialysis. We report here a case of Mycobacterium abscessus exit site infection with abdominal wall abscess formation in an adolescent on peritoneal dialysis, which required long-term antibiotic therapy, peritoneal dialysis catheter removal, and surgical debridement of the abscess. Nontuberculous mycobacteria should be considered as a possible causative organism for an exit site infection that fails to respond to usual antibiotic therapy. Nontuberculous mycobacterial exit site infections may require peritoneal dialysis catheter removal and surgical debridement.
authors.affiliation: Department of Pediatrics, Arkansas Children's Hospital, 800 Marshall, Little Rock, AR 72202, USA. elliseileenn@uams.edu
authors.forename: Eileen N
authors.initials: EN
authors.lastname: Ellis
authors.forename: Gordon E
authors.initials: GE
authors.lastname: Schutze
authors.forename: J Gary
authors.initials: JG
authors.lastname: Wheeler
mesh_terms: D018784:Abdominal Abscess / Q000382:microbiology* / Q000628:therapy; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003646:Debridement; D020878:Device Removal; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D009164:Mycobacterium Infections / Q000150:complications* / Q000209:etiology* / Q000628:therapy; D010530:Peritoneal Dialysis / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents