Kolmos H J, Brahm M, Bruun B
Department of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
Scand J Infect Dis. 1992;24(6):801-3. doi: 10.3109/00365549209062468.
A 35-year-old man on continuous ambulatory peritoneal dialysis (CAPD) developed peritonitis due to Mycobacterium fortuitum and coagulase-negative staphylococci, following an unsuccessful renal transplantation. Infection subsided after removal of the dialysis catheter and treatment with amikacin. Clinicians and microbiologists should be aware of M. fortuitum as a potential cause of peritonitis in patients with debilitating underlying diseases. It is able to grow on ordinary culture media, but detection requires prolonged incubation, and it may be confused with poorly characterized diphtheroids.
一名35岁接受持续性非卧床腹膜透析(CAPD)的男性在肾移植失败后,因偶然分枝杆菌和凝固酶阴性葡萄球菌感染发生腹膜炎。在拔除透析导管并使用阿米卡星治疗后,感染消退。临床医生和微生物学家应意识到偶然分枝杆菌是患有衰弱性基础疾病患者发生腹膜炎的潜在原因。它能够在普通培养基上生长,但检测需要延长培养时间,并且可能会与特征不明确的类白喉杆菌混淆。