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[Tuberculous peritonitis in peritoneal dialysis].
M Borrajo Prol1, C Pérez Melón, E F Novoa
1Servicio de Nefrología, Complejo Hospitalario de Ourense, Ourense, Spain.
Summary
Tuberculous peritonitis in a patient on Automatic Peritoneal Dialysis (APD) was diagnosed via peritoneal biopsy after negative cultures. Treatment involved catheter removal and anexectomy, leading to symptom resolution.
Area of Science:
- Nephrology
- Infectious Diseases
- Gynecology
Background:
- A patient undergoing Automatic Peritoneal Dialysis (APD) presented with suspected tuberculous peritonitis.
- The infection was possibly linked to the proximity of the fallopian tube and left ovary.
Observation:
- Peritoneal fluid cultures were consistently negative, complicating diagnosis.
- The patient experienced poor clinical progression, including hypercalcemia, nausea, and vomiting.
Findings:
- A definitive diagnosis required a laparoscopic peritoneal biopsy.
- Surgical intervention included peritoneal catheter removal and left adnexectomy.
Implications:
- This case highlights the diagnostic challenges of tuberculous peritonitis in APD patients with negative peritoneal fluid cultures.
- Aggressive management, including surgical intervention, can lead to successful patient outcomes.
- Understanding the potential gynecological source of infection is crucial for effective treatment strategies.
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