Nocardia asteroides peritonitis during continuous ambulatory peritoneal dialysis

Lopes, Jorge O.; Alves, Sydney H.; Benevenga, Jeni P.; Salla, Adenilde; Tatsch, Ines

doi:10.1590/S0036-46651993000400013

Abstracts

This paper reports a case of peritonitis by Nocardia asteroides during continuous ambulatory peritoneal dialysis in a man who had systemic lupus erythematous and chronic renal failure. Diagnosis was established by microscopic examination (Gram and Kinyoun) and culture of centrifuged dialysis fluid and the patient was treated with Trimethoprin-Sulfamethoxazole by intraperitoneal route.

Nocardia asteroides; Peritonitis; Peritoneal dialysis

É relatado um caso de peritonite por Nocardia asteroides durante tratamento por diálise peritoneal ambulatorial continuada em paciente com lupus eritematoso sistêmico e insuficiência renal crônica. O diagnóstico foi feito pelo exame direto (Gram e Kinyoun) e cultivo do sedimento do líquido de diálise e o tratamento com Trimetoprin-Sulfametoxazole intraperitoneal.

CASE REPORT

Nocardia asteroides peritonitis during continuous ambulatory peritoneal dialysis

Peritonite por Nocardia asteroides durante diálise peritoneal ambulatorial continuada

Jorge O. Lopes; Sydney H. Alves; Jeni P. Benevenga; Adenilde Salla; Ines Tatsch

Serviço de Micologia, Hospital Universitário, Universidade Federal de Santa Maria, Rio Grande do Sul, Brasil

^{Address for correspondence} Address for correspondence: Jorge O. Lopes Departamento de Microbiologia e Parasitologia, Universidade Federal de Santa Maria 97119-970, Santa Maria, RS, Brazil

SUMMARY

This paper reports a case of peritonitis by Nocardia asteroides during continuous ambulatory peritoneal dialysis in a man who had systemic lupus erythematous and chronic renal failure. Diagnosis was established by microscopic examination (Gram and Kinyoun) and culture of centrifuged dialysis fluid and the patient was treated with Trimethoprin-Sulfamethoxazole by intraperitoneal route.

Key words: Nocardia asteroides; Peritonitis; Peritoneal dialysis

RESUMO

É relatado um caso de peritonite por Nocardia asteroides durante tratamento por diálise peritoneal ambulatorial continuada em paciente com lupus eritematoso sistêmico e insuficiência renal crônica. O diagnóstico foi feito pelo exame direto (Gram e Kinyoun) e cultivo do sedimento do líquido de diálise e o tratamento com Trimetoprin-Sulfametoxazole intraperitoneal.

Full text available only in PDF format.

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Recebido para publicação em 13/01/1993

Aceito para publicação em 19/02/1993

1. ARFANIA, D.; EVERETT, E.D.; NOLPH, K.D. & RUBIN, J. - Uncommon causes of peritonitis in patients undergoing peritoneal dialysis. Arch. intern. Med., 141: 61-64, 1981.
2. CHAN, D.T.; CHENG, I.K.; CHAN, P.C. &MOK, K.Y. - Norcardia peritonitis complicating continuous ambulatory peritoneal dialysis. Perit. Dial. Int., 10: 99, 1990.
3. CURRY, W.A. - Human Nocardiosis. A clinical review with selected case reports. Arch. intern. Med., 140: 818-826, 1980.
4. JOHNSON, C.A.; ZIMMERMAN, S.W. & ROGGE, M. - The pharmacokinetics of antibiotics used to treat peritoneal dialysis associated peritonitis. Amer. J. Kidney Dis., 4: 3-17, 1984.
5. KACZMARSKI, E.B.; WILKIE, M.; THORHILL, C.; OPPNHEIM, B.A. & ACKRILL, P. Problems encountered in diagnosis of Nocardia asteroides peritonitis complicating CAPD (letter). Perit. Dial. Int., 10: 106, 1990.
6. KONG, N.C.T.; MORD, Z.; SULEIMAN, A.B.; CHEONG, I.K.S. & LAJIN, I. Spectrum of Nocardiosis in renal patients. Ann. Acad. Med. Singapore, 19: 375-379, 1990.
7. RIPPON, J.W. Medical Mycology. The pathogenic fungi and the pathogenic Actinomycetes. 3. ed. Philadelphia, W.B. Saunders, 1988. p. 53-68.
8. RUBIN, J.; KIRCHNER, K.; WALSH, D.; GREEN, M. & BOWER, J. - Peritonitis during continuous ambulatory peritoneal dialysis: a report of 17 cases. Amer. J. Kidney Dis., 5: 361-368, 1987.
9. SAKLAYEN, M.G. CAPD peritonitis. Incidence, pathogens, diagnosis and management. Med. Clin. N. Amer., 74: 997-1010, 1990.
10. SMEGO, R.A.; MOELLER, M.B. & GALLIS, H.A. Trimethoprin-Sulfamethoxazole therapy for Nocardia infections. Arch. intern. Med., 143: 711-718, 1983.
11. VAS, S.I. Infections associated with peritoneal and hemodialysis. In: Infections associated with indwelling medical devices. Washington, American Society for Microbiology, 1989. p. 215-248.
12. YAZAWA, K. & MIKAMI, Y. Re-identification of clinically isolated Nocardia asteroides strains into three newly proposed Nocardia species. Jap. J. med. Mycol., 31: 27-33, 1990.

Address for correspondence:

Jorge O. Lopes

Departamento de Microbiologia e Parasitologia, Universidade Federal de Santa Maria

97119-970, Santa Maria, RS, Brazil

Publication Dates

Publication in this collection
21 July 2006
Date of issue
Aug 1993

History

Received
13 Jan 1993
Accepted
19 Feb 1993

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. ARFANIA, D.; EVERETT, E.D.; NOLPH, K.D. & RUBIN, J. - Uncommon causes of peritonitis in patients undergoing peritoneal dialysis. Arch. intern. Med., 141: 61-64, 1981.

[2] 2. CHAN, D.T.; CHENG, I.K.; CHAN, P.C. &MOK, K.Y. - Norcardia peritonitis complicating continuous ambulatory peritoneal dialysis. Perit. Dial. Int., 10: 99, 1990.

[3] 3. CURRY, W.A. - Human Nocardiosis. A clinical review with selected case reports. Arch. intern. Med., 140: 818-826, 1980.

[4] 4. JOHNSON, C.A.; ZIMMERMAN, S.W. & ROGGE, M. - The pharmacokinetics of antibiotics used to treat peritoneal dialysis associated peritonitis. Amer. J. Kidney Dis., 4: 3-17, 1984.

[5] 5. KACZMARSKI, E.B.; WILKIE, M.; THORHILL, C.; OPPNHEIM, B.A. & ACKRILL, P. Problems encountered in diagnosis of Nocardia asteroides peritonitis complicating CAPD (letter). Perit. Dial. Int., 10: 106, 1990.

[6] 6. KONG, N.C.T.; MORD, Z.; SULEIMAN, A.B.; CHEONG, I.K.S. & LAJIN, I. Spectrum of Nocardiosis in renal patients. Ann. Acad. Med. Singapore, 19: 375-379, 1990.

[7] 7. RIPPON, J.W. Medical Mycology. The pathogenic fungi and the pathogenic Actinomycetes. 3. ed. Philadelphia, W.B. Saunders, 1988. p. 53-68.

[8] 8. RUBIN, J.; KIRCHNER, K.; WALSH, D.; GREEN, M. & BOWER, J. - Peritonitis during continuous ambulatory peritoneal dialysis: a report of 17 cases. Amer. J. Kidney Dis., 5: 361-368, 1987.

[9] 9. SAKLAYEN, M.G. CAPD peritonitis. Incidence, pathogens, diagnosis and management. Med. Clin. N. Amer., 74: 997-1010, 1990.

[10] 10. SMEGO, R.A.; MOELLER, M.B. & GALLIS, H.A. Trimethoprin-Sulfamethoxazole therapy for Nocardia infections. Arch. intern. Med., 143: 711-718, 1983.

[11] 11. VAS, S.I. Infections associated with peritoneal and hemodialysis. In: Infections associated with indwelling medical devices. Washington, American Society for Microbiology, 1989. p. 215-248.

[12] 12. YAZAWA, K. & MIKAMI, Y. Re-identification of clinically isolated Nocardia asteroides strains into three newly proposed Nocardia species. Jap. J. med. Mycol., 31: 27-33, 1990.

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