El-Naggari Mohamed, El Nour Ibtisam, Al-Nabhani Dana, Al Muharrmi Zakaria, Gaafar Heba, Abdelmogheth Anas A W
Sultan Qaboos University Hospital, Child Health Department, Oman.
Sultan Qaboos University Hospital, Child Health Department, Oman.
J Infect Public Health. 2016 Mar-Apr;9(2):192-7. doi: 10.1016/j.jiph.2015.11.003. Epub 2016 Jan 4.
Nocardia asteroides is a rare pathogen in peritoneal dialysis-related peritonitis. We report on a 13-year-old female with Nocardia asteroides peritonitis complicated by an intra-abdominal abscess. Linezolid was administered intravenously for 3 months and followed by oral therapy for an additional 5 months with close monitoring for adverse effects. The patient was discharged after 3 months of hospitalization on hemodialysis. The diagnosis and management of such cases can be problematic due to the slow growth and difficulty of identifying Nocardia species. The optimal duration of treatment for Nocardia peritonitis is not known. Linezolid can be used for prolonged periods in cases of trimethoprim/sulfamethoxazole-resistant cases with close monitoring for adverse effects.
星形诺卡菌是腹膜透析相关性腹膜炎中一种罕见的病原体。我们报告了一名13岁女性，患有星形诺卡菌腹膜炎并伴有腹腔脓肿。静脉给予利奈唑胺3个月，随后口服治疗5个月，并密切监测不良反应。患者在住院3个月后接受血液透析出院。由于诺卡菌生长缓慢且难以鉴定，此类病例的诊断和管理可能存在问题。诺卡菌腹膜炎的最佳治疗时长尚不清楚。对于耐甲氧苄啶/磺胺甲恶唑的病例，利奈唑胺可长期使用，并密切监测不良反应。
