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Fulminant sclerosing peritonitis immediately following acute bacterial peritonitis
Aisling E Courtney1, Ciaran C Doherty
1Regional Nephrology Unit, Level 11, Belfast City Hospital, Belfast, UK. aecourtney@doctors.org.uk
Abstract:
Sclerosing peritonitis (SP) is an uncommon disease in the peritoneal dialysis population, but the considerable morbidity and mortality associated with it make early diagnosis and treatment imperative. We describe a case illustrating that a fulminant variant of SP can occur as a second phase phenomenon immediately following treatment of acute bacterial peritonitis, a setting in which the diagnosis may be masked and aggressive immunosuppression considered potentially hazardous. Treatment with corticosteroid alone appears particularly effective for SP occurring in this setting.
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