| Peritonitis by Chryseobacterium indologenes and Sphingomonas paucimobilis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis (CAPD) |
| Jeong Soo Yoon, M.D.1, Eun Ah Hwang, M.D.1, Mi Hyun Chang, M.D.1 Woo Young Park, M.D.1 Kyu Bok Jin, M.D.1, Seung Yeup Han, M.D.1 Sung Bae Park, M.D.1, Hyun Chul Kim, M.D.1 and Nam Hee Ryoo, M.D.2 |
Departments of Internal Medicine1 and Laboratory Medicine2
Keimyung university school of medicine |
| 증례 : 지속성 외래복막투석 환자에서 발생한 Chryseobacterium indologenes와 Sphingomonas paucimobilis 복합균주에 의한 복막염 1예 |
| 윤정수1 황은아1 장미현1 박우영1 진규복1 한승엽1 박성배1 김현철1 류남희2 |
| 계명대학교 의과대학 내과학교실1, 진단검사의학교실2 |
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| Abstract |
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Bacterial peritonitis is a well-recognized complication of continuous ambulatory peritoneal dialysis (CAPD) in patients with end-stage renal failure. Chryseobacterium indologenes is a non-fermentative Gram-negative bacillus that is a rare pathogen in humans and Sphinomomas paucimobilis has rarely been reported as an opportunistic human pathogen. We present a case of peritonitis due to unusual pathogens, C. indologenes and S. paucimobilis, unresponsive to the standard antibiotics therapy. A 51-year-old diabetic man undergoing CAPD for 45 days developed the first peritonitis due to C. indolegenes. Although he had received intraperitoneal antibiotics with good in vitro activity against organism, the signs of peritonitis persisted. S. paucimobilis was isolated from dialysate sample. The Tenckhoff catheter was finally removed on 19th day of hospitalization and the fever and abdominal pain subsided. |
| Key Words:
Chryseobacterium, Sphingomonas, Peritoneal dialysis, Peritonitis |
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