Tse KC, Lui SL, Cheng VCC, Yip TPS, Lo WK. A cluster of rapidly growing mycobacterial peritoneal dialysis catheter exit-site infections.
Am J Kidney Dis 2007;
50:e1-5. [PMID:
17591517 DOI:
10.1053/j.ajkd.2007.04.017]
[Citation(s) in RCA: 35] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2007] [Accepted: 04/17/2007] [Indexed: 11/11/2022]
Abstract
In this case series, a cluster of 5 consecutive peritoneal dialysis patients with atypical mycobacterial exit-site infections in a single center within 20 months are described. Clinical features, treatment, and outcomes are discussed. Most patients had been treated with prolonged systemic antibiotic therapy for recurrent bacterial exit-site infections in the preceding months, and all had used topical gentamicin ointment for exit-site infection treatment or prophylaxis. It is postulated that this might have predisposed them to atypical mycobacterial exit-site infection as a result of selection pressure on uncommon organisms.
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