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Mycobacterium avium complex‐associated peritonitis with CAPD after unrelated bone marrow transplantation
Author(s) -
Miyashita Emiko,
Yoshida Hisao,
Mori Daisuke,
Nakagawa Natsuki,
Miyamura Takako,
Ohta Hideaki,
Seki Masafumi,
Tomono Kazunori,
Hashii Yoshiko,
Ozono Keiichi
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12463
Subject(s) - medicine , peritonitis , peritoneal dialysis , continuous ambulatory peritoneal dialysis , complication , transplantation , immunology
Peritonitis remains an important complication of peritoneal dialysis and is mostly caused by aerobic enteric bacteria. Non‐tuberculous mycobacteria ( NTM )‐associated peritonitis is an unusual but serious infection, requiring special culture techniques to avoid delay in diagnosis. We report the case of an 11‐year‐old girl with aplastic anemia on ambulatory peritoneal dialysis who had M ycobacterium avium complex‐associated peritonitis after allogeneic hematopoietic stem cell transplantation (allo‐ HSCT ). This case emphasizes that we should be constantly cautious about NTM infection in allo‐ HSCT recipients, especially when standard cultures are negative and the infection is refractory to empirical antibiotic therapy.