title: Mycobacterium fortuitum peritonitis in peritoneal dialysis and its effects on the peritoneum.
abstract: Mycobacterium fortuitum peritonitis is a rare complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). A 47-year-old patient was admitted to our tertiary hospital because of culture-negative peritonitis with persisting signs of infection despite adequate empirical antibiotic treatment. Although M. fortuitum was detected and the antibiotic regime subsequently amended, catheter removal was inevitable and the dialysis modality converted to hemodialysis (HD). After long-term antibiotic treatment and an additional latency of 4 months without signs of residual infection, reinitiation of CAPD was planned. Explorative laparoscopy prior to catheter reinsertion revealed multiple adhesions within the peritoneal cavity, preventing adequate catheter function. The clinical course of M. fortuitum peritonitis, the need for catheter removal and the description of peritoneal changes are discussed regarding to recent literature.
authors.forename: Stephen
authors.initials: S
authors.lastname: Zewinger
authors.forename: Clemens-Magnus
authors.initials: CM
authors.lastname: Meier
authors.forename: Danilo
authors.initials: D
authors.lastname: Fliser
authors.forename: Matthias
authors.initials: M
authors.lastname: Klingele
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D055499:Catheter-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D002408:Catheters, Indwelling; D020878:Device Removal; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D019907:Mycobacterium fortuitum; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents