case_images: PMC5836155_01
case_images: Appearance of the exit site on the day of admission. There is a crust around the exit site, and subcutaneous tissue is swollen. Discharged pus is adhering to the gauze.
case_images: cnd-0008-0001-g01.jpg
case_images: PMC5836155_01_cnd-0008-0001-g01.jpg
case_images: F1
case_images: On physical examination, swelling and induration around the exit site and purulent discharge from the exit site were noted (Fig. 1).
case_images: Ultrasound and computed tomography (CT) evaluation on the day of admission. a Fluid accumulation, which indicates abscess formation, is observed in the subcutaneous tissue near the exit site on ultrasound. b Fluid accumulation is also confirmed on CT images (arrows). No sign of tunnel infection is observed. PD, peritoneal dialysis.
case_images: cnd-0008-0001-g02.jpg
case_images: PMC5836155_01_cnd-0008-0001-g02.jpg
case_images: F2
case_images: Subcutaneous fluid accumulation localized around the exit site was observed on ultrasound and computed tomography (Fig. 2).
case_images: Gram staining and acid-fast staining of the pus collected on the day of admission (magnification, x1,000). a Weakly stained gram-positive rods are observed with Gram staining (arrow). b Acid-fast bacilli are observed with acid-fast staining.
case_images: cnd-0008-0001-g03.jpg
case_images: PMC5836155_01_cnd-0008-0001-g03.jpg
case_images: F3
case_images: Instead, weakly stained gram-positive rods were observed on day 7, and the sample was positive on acid-fast staining performed on the same day (Fig. 3).