Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Kidney Res Clin Pract. 2013 Jun;32(2):78-80. doi: 10.1016/j.krcp.2012.10.005. Epub 2012 Oct 30.
Sphingomonas paucimobilis is an aerobic Gram-negative bacillus found in soil and water. Knowledge regarding the role of this infectious agent is limited because it is rarely isolated from human material. Furthermore, it is an unusual pathogen in cases of peritoneal dialysis (PD)-associated peritonitis. The clinical courses and outcomes of peritonitis caused by S. paucimobilis are variable. Whereas some patients were cured with appropriate antibiotic therapy, others required catheter removal. Cases of PD-associated peritonitis caused by S. paucimobilis have been reported worldwide, and there was a case report of coinfection with S. paucimobilis and Chryseobacterium indologenes in Korea. However, there has been no case caused by S. paucimobilis as a single pathogen. We report a case of PD-associated peritonitis due to S. paucimobilis in which the patient recovered after catheter removal.
寡养单胞菌是一种存在于土壤和水中的需氧革兰氏阴性杆菌。由于该感染因子很少从人体材料中分离出来，因此人们对其作用知之甚少。此外，它是腹膜透析（PD）相关性腹膜炎的一种不常见病原体。由寡养单胞菌引起的腹膜炎的临床过程和结果是多变的。虽然一些患者通过适当的抗生素治疗治愈，但其他患者则需要去除导管。世界各地都有报道 PD 相关性腹膜炎由寡养单胞菌引起的病例，并且在韩国也有报道称该菌与吲哚金黄杆菌共同感染的病例。但是，还没有由寡养单胞菌作为单一病原体引起的病例。我们报告了一例 PD 相关性腹膜炎由寡养单胞菌引起，患者在去除导管后痊愈。
