title: Mycobacterium porcinum peritonitis in a patient on continuous ambulatory peritoneal dialysis.
abstract: Mycobacterium porcinum has been reported to cause a variety of illnesses including wound infections, respiratory tract infections, osteomyelitis and catheter-related bacteremias. We report the first case of M. porcinum peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD). A 67-year-old woman on CAPD presented with three weeks of constitutional symptoms and abdominal pain. Peritoneal fluid cultures on day three grew acid-fast rods. Nocardiosis was suspected and the patient was empirically treated with amikacin and trimethoprim-sulfamethoxazole. The dialysis catheter was removed. Two weeks later final culture results revealed M. porcinum. Ciprofloxacin and trimethoprim-sulfamethoxazole were initiated with good clinical response.
authors.affiliation: Department of Internal Medicine, Temple University/Conemaugh Valley Memorial Medical Center, 1086 Franklin Street, Johnstown, PA 15905, USA. drriteshpatil@yahoo.co.in
authors.forename: Ritesh
authors.initials: R
authors.lastname: Patil
authors.forename: Trupti
authors.initials: T
authors.lastname: Patil
authors.forename: Louis
authors.initials: L
authors.lastname: Schenfeld
authors.forename: Samuel
authors.initials: S
authors.lastname: Massoud
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D009161:Mycobacterium / Q000302:isolation & purification*; D009164:Mycobacterium Infections / Q000150:complications / Q000175:diagnosis*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology