Mycobacterium fortuitum infection in continuous ambulatory peritoneal dialysis

Clin Nephrol. 2008 Dec;70(6):546-53. doi: 10.5414/cnp70546.

Abstract

Mycobacterium fortuitum group species is an atypical rapidly growing nontuberculous mycobacterium. It has been increasingly recognized as a potential pathogen mostly encountered in skin and soft tissue infections. Rarely, however, it has been associated with catheter-related infections, either central venous lines or peritoneal dialysis catheters. In this report we describe 2 patients maintained on continuous ambulatory peritoneal dialysis who developed Mycobacterium fortuitum peritonitis and a catheter tunnel abscess, respectively. Molecular biology identification of the isolates was performed in both cases. The literature is reviewed regarding all similar cases.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Ascitic Fluid / microbiology
  • DNA, Bacterial / analysis
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Mycobacterium Infections, Nontuberculous / diagnosis
  • Mycobacterium Infections, Nontuberculous / drug therapy
  • Mycobacterium Infections, Nontuberculous / etiology*
  • Mycobacterium fortuitum / genetics
  • Mycobacterium fortuitum / isolation & purification*
  • Peritoneal Cavity / microbiology*
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
  • Peritonitis / diagnosis
  • Peritonitis / drug therapy
  • Peritonitis / etiology*
  • Polymerase Chain Reaction
  • Tomography, X-Ray Computed

Substances

  • Anti-Bacterial Agents
  • DNA, Bacterial