An Unusual Case of Unresolving Tunnel Infection in a Patient on Continuous Ambulatory Peritoneal Dialysis |
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Affiliation: | 2. Department of Nephrology, Institue of Kidney Disease Urology and Organ Transplantation, Madras Medical Mission, Chennai, Tamil Nadu, India;1. Department of Microbiology, Madras Medical Mission, Chennai, Tamil Nadu, India |
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Abstract: | Atypical mycobacteria remain a rare cause of peritoneal dialysis catheter-related tunnel infection (TI) and poses serious risk because of the resistant nature to most antibiotic therapy. Non-tubercular mycobacterial infections lead to chronicity requiring peritoneal dialysis catheter removal. We report an 82-year-old male, with diabetic nephropathy who had a coinfection with Staphylococcus hominis and Mycobacterium abscessus who presented with pus discharge at exit site and TI. He was treated with relocation of the extraperitoneal part of the catheter with a new exit site without catheter removal and multidrug mycobacterial therapy. |
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Keywords: | Coinfection peritoneal dialysis tunnel infection |
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