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CEN Case Reports

, Volume 6, Issue 2, pp 175–179 | Cite as

Peritoneal dialysis-associated catheter infection caused by Mycobacterium abscessus in an elderly patient who was successfully treated with catheter removal

  • Arata HibiEmail author
  • Takahisa Kasugai
  • Keisuke Kamiya
  • Keisuke Kamiya
  • Chiharu Ito
  • Satoru Kominato
  • Ken Mizuguchi
  • Toshiyuki Miura
  • Katsushi Koyama
Case report

Abstract

An 89-year-old Japanese man on peritoneal dialysis (PD) was suspected of having a PD-associated catheter infection. He visited the hospital because of the discharge of pus from the exit site of his catheter. Gram staining of the pus showed Gram-positive bacilli, but these were acid-fast bacilli. The rapidly growing nontuberculous mycobacteria, Mycobacterium abscessus, was isolated. PD catheter removal and debridement were immediately performed. The patient received combination antibiotic therapy. His clinical course was good, but he required hemodialysis due to the discontinuation of PD. However, the patient and his family chose not to continue hemodialysis even when the symptoms of uremia appeared. Best supportive care was arranged by his primary care physician. M. abscessus is a rare causative organism for PD-associated catheter infections and is difficult to treat. In our case, a rapid and precise diagnosis was made using acid-fast staining and Mycobacterium culture. The risk of nontuberculous mycobacterial infections should be considered in patients on PD.

Keywords

Mycobacterium abscessus Nontuberculous mycobacteria Peritoneal dialysis Exit-site infection Tunnel infection Peritonitis 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest associated with this manuscript.

Human and animal rights

The article does not contain any studies involving human or animal participants.

Informed consent

Informed consent was obtained from the patient’s family due to the patient’s ineligibility in the present study.

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Copyright information

© Japanese Society of Nephrology 2017

Authors and Affiliations

  • Arata Hibi
    • 1
    Email author
  • Takahisa Kasugai
    • 1
  • Keisuke Kamiya
    • 1
  • Keisuke Kamiya
    • 2
  • Chiharu Ito
    • 1
  • Satoru Kominato
    • 1
  • Ken Mizuguchi
    • 1
  • Toshiyuki Miura
    • 1
  • Katsushi Koyama
    • 1
  1. 1.Division of Nephrology and Rheumatology, Department of Internal MedicineKariya Toyota General HospitalKariyaJapan
  2. 2.Division of Nephrology and Rheumatology, Department of Internal MedicineAichi Medical University HospitalNagakuteJapan

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