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Continuous Ambulatory Peritoneal Dialysis-Associated Peritonitis Caused by Achromobacter xylosoxidans : A Case Report and Comprehensive Literature Review
Tak Geun Oh1, Ji Hyeon Baek1, Su Jin Jeong1, Yoon Tae Chae1, Nam Su Ku1, Bum Sik Chin1, Sang Hoon Han1, Chang Oh Kim1, Young Goo Song1,2, Ho Yong Lee1, June Myung Kim1,2, and Jun Yong Choi1,2
Departments of 1Internal Medicine, and 2AIDS Research Institute, Yonsei University College of Medicine, Seoul, Korea
Vol.43 Num.3 (p275~278)
Achromobacter xylosoxidans is an uncommon cause of peritonitis in patients on maintenance continuous ambulatory peritoneal dialysis (CAPD). CAPD peritonitis caused by Achromobacter xylosoxidans carries high mortality and recurrence rates because of its virulence and resistance to most antimicrobial agents. We experienced a case of CAPD peritonitis caused by Achromobacter xylosoxidans in a patient with hypertension, diabetes mellitus, and end stage renal disease. The patient was treated with intravenous imipenem/cilastatin, and the CAPD catheter was removed. However, the patient died by aspiration pneumonia on the 34th day of hospitalization.
Keywords : Achromobacter xylosoxidans , Continuous ambulatory peritoneal dialysis, Peritonitis