Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature
Mycobacterium fortuitum is a ubiquitous, rapidly growing nontuberculous mycobacterium (NTM). It is the most commonly reported NTM in peritoneal dialysis (PD) associated peritonitis. We report a case of a 52-year-old man on PD, who developed refractory polymicrobial peritonitis necessitating PD cathe...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2014/323757 |
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| author | Anwar Hamade Agnieszka Pozdzik O. Denis Monika Tooulou Caroline Keyzer F. Jacobs Jose Khabbout Joëlle L. Nortier |
| author_facet | Anwar Hamade Agnieszka Pozdzik O. Denis Monika Tooulou Caroline Keyzer F. Jacobs Jose Khabbout Joëlle L. Nortier |
| author_sort | Anwar Hamade |
| collection | DOAJ |
| description | Mycobacterium fortuitum is a ubiquitous, rapidly growing nontuberculous mycobacterium (NTM). It is the most commonly reported NTM in peritoneal dialysis (PD) associated peritonitis. We report a case of a 52-year-old man on PD, who developed refractory polymicrobial peritonitis necessitating PD catheter removal and shift to hemodialysis. Thereafter, M. fortuitum was identified in the PD catheter culture and in successive cultures of initial peritoneal effluent and patient was treated with amikacin and ciprofloxacin for six months with a good and sustained clinical response. Months after completion of the course of antibiotics, the patient successfully returned to PD. To our knowledge, this is the first reported case of M. fortuitum peritonitis in the field of polymicrobial PD peritonitis. It demonstrates the diagnostic yield of pursuing further investigations in cases of refractory PD peritonitis. In a systematic review of the literature, only 20 reports of M. fortuitum PD peritonitis were identified. Similar to our case, a delay in microbiological diagnosis was frequently noted and the Tenckhoff catheter was commonly removed. However, the type and duration of antibiotic therapy varied widely making the optimal treatment unclear. |
| format | Article |
| id | doaj-art-275cc8f9c2a94254bb05d9c8e386b47e |
| institution | Kabale University |
| issn | 2090-6641 2090-665X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-275cc8f9c2a94254bb05d9c8e386b47e2025-02-03T05:50:58ZengWileyCase Reports in Nephrology2090-66412090-665X2014-01-01201410.1155/2014/323757323757Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the LiteratureAnwar Hamade0Agnieszka Pozdzik1O. Denis2Monika Tooulou3Caroline Keyzer4F. Jacobs5Jose Khabbout6Joëlle L. Nortier7Department of Nephrology, Dialysis and Renal Transplantation, Erasme Hospital, Brussels 1070, BelgiumDepartment of Nephrology, Dialysis and Renal Transplantation, Erasme Hospital, Brussels 1070, BelgiumDepartment of Microbiology, Erasme Hospital, Université Libre de Bruxelles, Brussels 1070, BelgiumDepartment of Microbiology, Erasme Hospital, Université Libre de Bruxelles, Brussels 1070, BelgiumDepartment of Radiology, Erasme Hospital, Université Libre de Bruxelles, Brussels 1070, BelgiumDepartment of Infectious Diseases, Erasme Hospital, Université Libre de Bruxelles, Brussels 1070, BelgiumDepartment of Nephrology, Lebanese University, Beirut, LebanonDepartment of Nephrology, Dialysis and Renal Transplantation, Erasme Hospital, Brussels 1070, BelgiumMycobacterium fortuitum is a ubiquitous, rapidly growing nontuberculous mycobacterium (NTM). It is the most commonly reported NTM in peritoneal dialysis (PD) associated peritonitis. We report a case of a 52-year-old man on PD, who developed refractory polymicrobial peritonitis necessitating PD catheter removal and shift to hemodialysis. Thereafter, M. fortuitum was identified in the PD catheter culture and in successive cultures of initial peritoneal effluent and patient was treated with amikacin and ciprofloxacin for six months with a good and sustained clinical response. Months after completion of the course of antibiotics, the patient successfully returned to PD. To our knowledge, this is the first reported case of M. fortuitum peritonitis in the field of polymicrobial PD peritonitis. It demonstrates the diagnostic yield of pursuing further investigations in cases of refractory PD peritonitis. In a systematic review of the literature, only 20 reports of M. fortuitum PD peritonitis were identified. Similar to our case, a delay in microbiological diagnosis was frequently noted and the Tenckhoff catheter was commonly removed. However, the type and duration of antibiotic therapy varied widely making the optimal treatment unclear.http://dx.doi.org/10.1155/2014/323757 |
| spellingShingle | Anwar Hamade Agnieszka Pozdzik O. Denis Monika Tooulou Caroline Keyzer F. Jacobs Jose Khabbout Joëlle L. Nortier Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature Case Reports in Nephrology |
| title | Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature |
| title_full | Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature |
| title_fullStr | Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature |
| title_full_unstemmed | Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature |
| title_short | Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature |
| title_sort | mycobacterium fortuitum and polymicrobial peritoneal dialysis related peritonitis a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2014/323757 |
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