Case Report
Mycobacterium fortuitum and Polymicrobial Peritoneal Dialysis-Related Peritonitis: A Case Report and Review of the Literature
Table 1
M. fortuitum PD-related peritonitis: patient characteristics, antibiotic therapies, and outcome.
| Case ref. | Age (years)/sex | Cause of ESKD | Time on PD (months) | Antibiotic therapy | Treatment duration | PD catheter removal | Outcome |
| 1 [4] | 32/M | NA | NA | Amikacin, tetracycline ciprofloxacin | Months | Yes | Resistant infection |
| 2 [5] | 42/M | DN | NA | Amikacin, doxycycline | 20 days | Yes | Recovery |
| 3 [5] | 40/M | DN | 24 | Amikacin doxycycline | 21 days | Yes | Death |
| 4 [6] | 16/M | SLE | 36 | Ciprofloxacin Trimethoprim Sulfamethoxazole | Months | Yes | Recovery |
| 5 [7] | 35/M | GN | 10 | Amikacin | NA | Yes | Recovery |
| 6 [8] | 71/M | GN | 10 | Amikacin Clarithromycin Trimethoprim Sulfamethoxazole | 3 months | Yes | Recovery |
| 7 [2] | 83/F | NS | 11 | Ciprofloxacin Clofazimine | 3 months | No | Recovery |
| 8 [2] | 61/M | GN | 0.33 | Amikacin | 1 week | Yes | Recovery |
| 9 [2] | 50/M | GN | 96 | Imipenem Amikacin Sulfamethoxazole | NA | Yes | Improved |
| 10 [9] | 33/M | HK | NA | Clarithromycin Bactrim | 6 months | Yes | Improved |
| 11 [9] | 71/F | AED | <1 | Amikacin Bactrim Clarithromycin | 3 months | Yes | Death |
| 12 [10] | 45/F | NA | 36 | Isoniazid Rifampin Ethambutol | 6 months | Yes | Recovery |
| 13 [11] | 65/M | NA | 60 | Levofloxacin Clarithromycin | 12 months | No | Recovery |
| 14 [12] | 59/M | NS | 1 | Vancomycin Doxycycline | 1 month | Yes | Recovery |
| 15 [12] | 65/M | DN | NA | Minocycline | 6 days | Yes | Recovery |
| 16 [13] | 38/F | HUS | 6 | Moxifloxacin, clarithromycin, and doxycycline | NA | Yes | Recovery |
| 17 [14] | 62/M | DN | 9 | Cefoxitin, clarithromycin | Weeks | Yes | Recovery |
| 18 [15] | 47/M | DN | 6 | Clarithromycin, meropenem, ciprofloxacin | 2 months | Yes | Recovery |
| 19 [8] | 68/F | DN | 48 | Amikacin, ciprofloxacin | 6 months | Yes | Death |
| 20 [16] | 15/M | NA | NA | Amikacin, cefoxitin | NA | Yes | NA |
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AED: atheroembolic disease; DN: diabetic nephropathy; ESKD: end-stage kidney disease; GN: glomerulonephritis; HK: horseshoe kidney; HUS: hemolytic uremic syndrome; NA: not available; NS: hypertensive nephrosclerosis; PD: peritoneal dialysis; SLE: lupus nephritis.
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