Journal of Yeungnam Medical Science
- Volume 30 Issue 2
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- Pages.109-111
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- 2013
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- 2799-8010(eISSN)
DOI QR Code
A Case of Continuous Ambulatory Peritonitis Dialysis Peritonitis Due to Stenotrophomonas maltophilia Using Antibiotic Combination
항생제 병용요법으로 치료한 Stenotrophomonas maltophilia 복막투석 복막염 1예
- Ko, Hee Sung (Department of Internal Medicine, Yonsei University College of Medicine) ;
- Choi, Ah Ran (Department of Internal Medicine, Yonsei University College of Medicine) ;
- Kim, Tae Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
- Kyung, Chan Hee (Department of Internal Medicine, Yonsei University College of Medicine) ;
- Cho, Jang Ho (Department of Internal Medicine, Yonsei University College of Medicine) ;
- Kim, Yong Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
- Lee, Jung Eun (Department of Internal Medicine, Yonsei University College of Medicine)
- 고희성 (연세대학교 의과대학 내과학교실) ;
- 최아란 (연세대학교 의과대학 내과학교실) ;
- 김태훈 (연세대학교 의과대학 내과학교실) ;
- 경찬희 (연세대학교 의과대학 내과학교실) ;
- 조장호 (연세대학교 의과대학 내과학교실) ;
- 김용훈 (연세대학교 의과대학 내과학교실) ;
- 이정은 (연세대학교 의과대학 내과학교실)
- Received : 2013.04.25
- Accepted : 2013.06.04
- Published : 2013.12.31
Abstract
Continuous ambulatory peritoneal dialysis (CAPD) peritonitis is a major complication of peritoneal dialysis (PD) and leads to the discontinuation of PD. Despite its limited pathogenicity, CAPD peritonitis caused by Stenotrophomonas maltophilia (S. maltophilia), an important nosocomial pathogen that is present in nature and is usually associated with plastic indwelling devices. Infection of S. maltophilia is associated with a poor prognosis, including inability to maintain the CAPD catheter, because of its resistance to multiple antibiotics. We report a case of CAPD peritonitis due to S. maltophilia that was treated successfully using oral Trimethoprim-sulfamethoxazole and intraperitoneal Ticarcillin/clavulanate without removing the dialysis catheter.