Linton I M, Leahy S I, Thomas G W
Aust N Z J Med. 1986 Apr;16(2):224-5. doi: 10.1111/j.1445-5994.1986.tb01155.x.
This report documents a case of peritonitis due to Mycobacterium gastri in a 28 year old woman on continuous ambulatory peritoneal dialysis. She presented with persistent abdominal pain and clear peritoneal drainage fluid which contained increased numbers of lymphocytes. The diagnosis was made by identification of acid-fast bacilli in peritoneal fluid and within a peritoneal biopsy specimen, and culture of Mycobacterium gastri from peritoneal fluid. Treatment with rifampicin and ethambutol and removal of the Tenckhoff catheter has proved effective. The case highlights the importance of searching for slow growing organisms in apparently 'aseptic' peritonitis in peritoneal dialysis patients.
本报告记录了一例28岁持续非卧床腹膜透析女性患者发生的胃分枝杆菌性腹膜炎病例。她表现为持续性腹痛，腹膜透析引流液清澈，但淋巴细胞数量增多。通过在腹膜液和腹膜活检标本中鉴定出抗酸杆菌以及从腹膜液中培养出胃分枝杆菌而确诊。使用利福平和乙胺丁醇治疗并拔除Tenckhoff导管已证明有效。该病例凸显了在腹膜透析患者看似“无菌”的腹膜炎中寻找生长缓慢病原体的重要性。
