title: Successful Treatment of Peritoneal Dialysis-related Peritonitis due to Mycobacterium iranicum.
abstract: A 68-year-old man on peritoneal dialysis (PD) was hospitalized with the clinical picture of peritonitis. The patient was diagnosed with peritonitis caused by nontuberculous mycobacteria (NTM) according to positive Ziehl-Neelsen staining and negative Mycobacterium tuberculosis polymerase chain reaction results. Oral levofloxacin and clarithromycin, and later intraperitoneal imipenem were started. According to the anti-NTM susceptibility test results, oral minocycline was administered. The patient was treated for 6 months. He recovered without PD catheter removal; thus, PD was successfully continued. A genetic analysis identified the isolate as Mycobacterium iranicum. This is the first report of PD-related peritonitis caused by M. iranicum.
authors.affiliation: Department of Nephrology, Handa City Hospital, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Inagaki
authors.forename: Makoto
authors.initials: M
authors.lastname: Mizutani
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Nagahara
authors.forename: Marina
authors.initials: M
authors.lastname: Asano
authors.forename: Daijiro
authors.initials: D
authors.lastname: Masamoto
authors.forename: Osamu
authors.initials: O
authors.lastname: Sawada
authors.forename: Akio
authors.initials: A
authors.lastname: Aono
authors.forename: Kinuyo
authors.initials: K
authors.lastname: Chikamatsu
authors.forename: Satoshi
authors.initials: S
authors.lastname: Mitarai
mesh_terms: D000368:Aged; D017291:Clarithromycin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000209:etiology* / Q000382:microbiology*; D010530:Peritoneal Dialysis / Q000009:adverse effects*; D010538:Peritonitis / Q000209:etiology* / Q000382:microbiology*
chemical_list: D017291:Clarithromycin