Siddiqi Nauman, Sheikh Iftikhar
Division of Nephrology, Department of Medicine, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
Saudi J Kidney Dis Transpl. 2012 Mar;23(2):321-4.
Nontuberculous mycobacteria are an uncommon cause of peritonitis in patients undergoing continuous ambulatory peritoneal dialysis. We report two cases of peritonitis caused by Mycobacterium abscesses from a single center, which were successfully treated. In endemic areas of tuberculosis, Zeil Neilsen staining should be part of the initial evaluation to allow early detection. Treatment requires removal of Tenckhoff catheter and second-line antibiotics until cultures become negative.
非结核分枝杆菌是持续非卧床腹膜透析患者发生腹膜炎的罕见原因。我们报告了来自单一中心的两例由脓肿分枝杆菌引起的腹膜炎病例,均成功治愈。在结核病流行地区,萋-尼染色应作为初始评估的一部分,以便早期发现。治疗需要拔除Tenckhoff导管并使用二线抗生素,直至培养结果转为阴性。