Disseminated Mycobacterium avium Complex Infection in a Non-HIV-infected Patient Undergoing Continuous Ambulatory Peritoneal Dialysis
- Authors
- Chung, Jin-Won; Cha, Young-Ju; Oh, Dong-Jin; Nam, Woo-Jin; Kim, Su-Hyun; Lee, Mi-Kyung; Kim, Hye-Ryoun
- Issue Date
- Apr-2010
- Publisher
- KOREAN SOC LABORATORY MEDICINE
- Keywords
- End-stage renal disease; Mycobacterium avium complex; Bone marrow
- Citation
- KOREAN JOURNAL OF LABORATORY MEDICINE, v.30, no.2, pp 166 - 170
- Pages
- 5
- Journal Title
- KOREAN JOURNAL OF LABORATORY MEDICINE
- Volume
- 30
- Number
- 2
- Start Page
- 166
- End Page
- 170
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/22525
- DOI
- 10.3343/kjlm.2010.30.2.166
- ISSN
- 1598-6535
- Abstract
- Isolated bone marrow infection by nontuberculous mycobacteria (NTM) is extremely rare. Recently, we encountered a case of bone marrow Mycobacterium avium complex (MAC) infection, which presented as a fever of unknown origin shortly after starting continuous ambulatory peritoneal dialysis (CAPD). The patient was diagnosed with MAC infection on the basis of PCR-restriction fragment length polymorphism analysis and sequencing of DNA obtained from bone marrow specimens. Although this was a case of severe MAC infection, there was no evidence of infection of other organs. End-stage renal disease (ESRD) patients undergoing dialysis can be considered immunodeficient; therefore, when these patients present with fever of unknown origin, opportunistic infections such as NTM infection should be considered in the differential diagnosis. (Korean J Lab Med 2010;30:166-70)
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