title: Mycobacterium avium complex-associated peritonitis with CAPD after unrelated bone marrow transplantation.
abstract: Peritonitis remains an important complication of peritoneal dialysis and is mostly caused by aerobic enteric bacteria. Non-tuberculous mycobacteria (NTM)-associated peritonitis is an unusual but serious infection, requiring special culture techniques to avoid delay in diagnosis. We report the case of an 11-year-old girl with aplastic anemia on ambulatory peritoneal dialysis who had Mycobacterium avium complex-associated peritonitis after allogeneic hematopoietic stem cell transplantation (allo-HSCT). This case emphasizes that we should be constantly cautious about NTM infection in allo-HSCT recipients, especially when standard cultures are negative and the infection is refractory to empirical antibiotic therapy.
authors.affiliation: Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Emiko
authors.initials: E
authors.lastname: Miyashita
authors.affiliation: Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.|Division of Infection Control and Prevention, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Hisao
authors.initials: H
authors.lastname: Yoshida
authors.affiliation: Department of Geriatric Medicine and Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Mori
authors.affiliation: Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Natsuki
authors.initials: N
authors.lastname: Nakagawa
authors.affiliation: Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Takako
authors.initials: T
authors.lastname: Miyamura
authors.affiliation: Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Ohta
authors.affiliation: Division of Infection Control and Prevention, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Seki
authors.affiliation: Division of Infection Control and Prevention, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Tomono
authors.affiliation: Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Hashii
authors.affiliation: Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ozono
mesh_terms: D000741:Anemia, Aplastic / Q000150:complications / Q000628:therapy*; D016026:Bone Marrow Transplantation / Q000009:adverse effects*; D002648:Child; D005260:Female; D006801:Humans; D015269:Mycobacterium avium Complex; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000209:etiology*; D051437:Renal Insufficiency / Q000150:complications / Q000628:therapy*
keywords: B-cell; immunosuppression; non-tuberculous mycobacteria