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腹膜置管术后沃林斯基分枝杆菌腹膜炎

Mycobacterium wolinskyi Peritonitis after Peritoneal Catheter Embedment Surgery.

作者信息

Fujikura Hiroyuki, Kasahara Kei, Ogawa Yoshihiko, Hirai Nobuyasu, Yoshii Seiya, Yoshihara Shingo, Ogawa Taku, Yonekawa Shinsuke, Imakita Natsuko, Nishioka Yuichi, Yoneda Tatsuo, Yoshida Katsunori, Samejima Ken-Ichi, Tanabe Kaori, Saito Yoshihiko, Yano Hisakazu, Mikasa Keiichi

机构信息

Center for Infectious Diseases, Nara Medical University, Japan.

Department of Urology, Nara Medical University, Japan.

出版信息

Intern Med. 2017 Nov 15;56(22):3097-3101. doi: 10.2169/internalmedicine.8871-17. Epub 2017 Sep 25.

Abstract

Mycobacterium wolinskyi belongs to the Mycobacterium smegmatis group, which comprises rapidly growing non-tuberculous mycobacteria. The number of case reports on M. wolinskyi infections associated with postoperative wounds has increased in recent years. We herein report a case of peritonitis due to M. wolinskyi after peritoneal catheter embedment surgery. Identification was achieved based on 16S ribosomal RNA and rpoB gene sequencing of the isolate. The patient recovered following catheter removal and treatment with levofloxacin and minocycline for one month.

摘要

沃林斯基分枝杆菌属于耻垢分枝杆菌群,该菌群由快速生长的非结核分枝杆菌组成。近年来,与术后伤口相关的沃林斯基分枝杆菌感染的病例报告数量有所增加。我们在此报告一例腹膜导管植入术后由沃林斯基分枝杆菌引起的腹膜炎病例。通过对分离株进行16S核糖体RNA和rpoB基因测序实现了鉴定。患者在拔除导管并接受左氧氟沙星和米诺环素治疗一个月后康复。

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