猪分枝杆菌性腹膜炎一例报告：患者为持续不卧床腹膜透析患者。
Mycobacterium porcinum peritonitis in a patient on continuous ambulatory peritoneal dialysis.
机构信息
Department of Internal Medicine, Temple University/Conemaugh Valley Memorial Medical Center, 1086 Franklin Street, Johnstown, PA 15905, USA.
出版信息
J Gen Intern Med. 2011 Mar;26(3):346-8. doi: 10.1007/s11606-010-1571-y. Epub 2010 Nov 23.
Mycobacterium porcinum has been reported to cause a variety of illnesses including wound infections, respiratory tract infections, osteomyelitis and catheter-related bacteremias. We report the first case of M. porcinum peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD). A 67-year-old woman on CAPD presented with three weeks of constitutional symptoms and abdominal pain. Peritoneal fluid cultures on day three grew acid-fast rods. Nocardiosis was suspected and the patient was empirically treated with amikacin and trimethoprim-sulfamethoxazole. The dialysis catheter was removed. Two weeks later final culture results revealed M. porcinum. Ciprofloxacin and trimethoprim-sulfamethoxazole were initiated with good clinical response.
猪分枝杆菌已被报道可引起多种疾病，包括伤口感染、呼吸道感染、骨髓炎和导管相关菌血症。我们报告了首例在接受持续不卧床腹膜透析（CAPD）的患者中发生的猪分枝杆菌性腹膜炎。一位 67 岁的女性在 CAPD 治疗期间出现了三周的全身症状和腹痛。第三天的腹膜液培养长出了抗酸杆菌。考虑为奴卡菌病，患者经验性地接受了阿米卡星和复方磺胺甲噁唑治疗。同时拔除了透析导管。两周后，最终的培养结果显示为猪分枝杆菌。给予环丙沙星和复方磺胺甲噁唑治疗，临床反应良好。
Zotero 插件