Korean J Nephrol.
1997 Dec;16(4):836-839.
A Case of Nocardial Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Chung-Ang University Hospital, Seoul, Korea.
Abstract
- Norcardia is an aerobic, gram-positive, AFB positive filamentous organism which is frequently branching. Nocardial infection is usually opportunistic and is found in immunosuppressed patients during transplantation or anti-cancer chemotherapy. With the increasing number of AIDS, nocardial infection have been increasingly recognized as a serious human infection. Among patients on peritoneal dialysis, Nocardia is a rare cause of peritonitis : only one case has been reported in Korea. It is extremely important to make an early and correct diagnosis and treatment with susceptible antibiotics. We report here a case of nocardial peritonitis associated with Continuous Ambulatory Peritoneal Dialysis(CAPD) which was resistant to trimethoprim/sulfamethoxazole and has treated successfully with imipenem and amikacin.
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