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 CASE REPORT
Year : 2018  |  Volume : 36  |  Issue : 4  |  Page : 600-602

An unusual case of unresolving tunnel infection in a patient on continuous ambulatory peritoneal dialysis


1 Department of Nephrology, Institue of Kidney Disease Urology and Organ Transplantation, Madras Medical Mission, Chennai, Tamil Nadu, India
2 Department of Microbiology, Madras Medical Mission, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Georgi Abraham
Institute of Kidney Disease Urology and Organ Transplantation, Madras Medical Mission, Mogappair, Chennai - 600 037, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmm.IJMM_18_425

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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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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

Online since April 2001, new site since 1st August '04