Hein Min Aung, Parinyasiri Uraiwan, Wannigama Dhammika Lehan, Udomsantisuk Nibondh, Kanjanabuch Talerngsak
Department of Nephrology, No. (1) 1000-Bedded Defence Services General Hospital, Yangon, MMR.
Kidney Diseases Clinic, Department of Internal Medicines, Songkhla Hospital, Songkhla, THA.
Cureus. 2024 Dec 23;16(12):e76280. doi: 10.7759/cureus.76280. eCollection 2024 Dec.
Infectious complications in peritoneal dialysis (PD) remain a constant challenge, with atypical pathogens posing significant risks. This case from Thailand highlights the rare occurrence of , an often-overlooked non-tuberculous mycobacterium (NTM), as the causative agent in a catheter-related exit-site infection that progressed to peritonitis. Initially misattributed to from preceding exit-site infections, was ultimately identified as the primary pathogen through multiple effluent cultures and advance polymerase chain reaction sequencing. This case underscores the importance of heightened clinical suspicion, early and accurate diagnosis, and timely interventions to prevent severe complications, including hemodialysis transfer.
腹膜透析（PD）中的感染并发症仍然是一个持续存在的挑战，非典型病原体带来重大风险。这个来自泰国的病例突出了一种常被忽视的非结核分枝杆菌（NTM）——[此处原文缺失具体菌名]罕见地作为导管相关出口部位感染并进展为腹膜炎的病原体。最初因先前出口部位感染而被误诊为[此处原文缺失具体菌名]，最终通过多次腹水培养和先进的聚合酶链反应测序确定[此处原文缺失具体菌名]为主要病原体。该病例强调了提高临床怀疑、早期准确诊断以及及时干预以预防严重并发症（包括转为血液透析）的重要性。
