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Case Reports
. 2017 Nov 15;56(22):3097-3101.
doi: 10.2169/internalmedicine.8871-17. Epub 2017 Sep 25.

Mycobacterium wolinskyi Peritonitis after Peritoneal Catheter Embedment Surgery

Hiroyuki Fujikura  1 , Kei Kasahara  1 , Yoshihiko Ogawa  1 , Nobuyasu Hirai  1 , Seiya Yoshii  1 , Shingo Yoshihara  1 , Taku Ogawa  1 , Shinsuke Yonekawa  1 , Natsuko Imakita  1 , Yuichi Nishioka  1 , Tatsuo Yoneda  2 , Katsunori Yoshida  2 , Ken-Ichi Samejima  3 , Kaori Tanabe  3 , Yoshihiko Saito  3 , Hisakazu Yano  4 , Keiichi Mikasa  1
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Case Reports

Mycobacterium wolinskyi Peritonitis after Peritoneal Catheter Embedment Surgery

Hiroyuki Fujikura et al. Intern Med. .

Abstract

Mycobacterium wolinskyi belongs to the Mycobacterium smegmatis group, which comprises rapidly growing non-tuberculous mycobacteria. The number of case reports on M. wolinskyi infections associated with postoperative wounds has increased in recent years. We herein report a case of peritonitis due to M. wolinskyi after peritoneal catheter embedment surgery. Identification was achieved based on 16S ribosomal RNA and rpoB gene sequencing of the isolate. The patient recovered following catheter removal and treatment with levofloxacin and minocycline for one month.

Keywords: 16S rRNA sequence; Mycobacterium wolinskyi; non-tuberculous mycobacteria; peritoneal dialysis; rapidly growing mycobacteria; rpoB sequence.

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Figures

Figure.
Figure.
A: Gram staining of colonies revealing Gram-positive bacilli of moderate length (×1,000). B: Ziehl-Neelsen staining of colonies revealing red bacilli (×1,000).
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