Dunmire R B, Breyer J A
Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232.
Am J Kidney Dis. 1991 Jul;18(1):126-30. doi: 10.1016/s0272-6386(12)80303-9.
Nontuberculous mycobacteria (NTM) are responsible for an increasing proportion of mycobacterial disease. Peritonitis due to NTM is an unusual but treatable complication of continuous ambulatory peritoneal dialysis (CAPD). Its presentation is similar to that of typical bacterial peritonitis, but special culture techniques are required to avoid a delay in diagnosis. Successful treatment depends on early catheter removal, drainage of fluid collections, and appropriate use of antimicrobial agents. We report a case of Mycobacterium fortuitum peritonitis in a patient undergoing CAPD, and review all previously reported cases. Diagnostic and therapeutic strategies are summarized based on available literature.
非结核分枝杆菌（NTM）所致的分枝杆菌病比例日益增加。NTM引起的腹膜炎是持续性非卧床腹膜透析（CAPD）一种不常见但可治疗的并发症。其临床表现与典型细菌性腹膜炎相似，但需要特殊培养技术以避免诊断延迟。成功治疗取决于早期拔除导管、引流积液以及合理使用抗菌药物。我们报告1例接受CAPD患者发生偶然分枝杆菌腹膜炎的病例，并回顾所有既往报道病例。基于现有文献总结诊断和治疗策略。
