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Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
Mycobacterium fortuitum peritonitis in peritoneal dialysis and its effects on the peritoneum
Abstract:
Mycobacterium fortuitum peritonitis is a rare complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). A 47-year-old patient was admitted to our tertiary hospital because of culture-negative peritonitis with persisting signs of infection despite adequate empirical antibiotic treatment. Although M. fortuitum was detected and the antibiotic regime subsequently amended, catheter removal was inevitable and the dialysis modality converted to hemodialysis (HD). After long-term antibiotic treatment and an additional latency of 4 months without signs of residual infection, reinitiation of CAPD was planned. Explorative laparoscopy prior to catheter reinsertion revealed multiple adhesions within the peritoneal cavity, preventing adequate catheter function. The clinical course of M. fortuitum peritonitis, the need for catheter removal and the description of peritoneal changes are discussed regarding to recent literature.
Insights
Mycobacterium fortuitum peritonitis, a rare complication in continuous ambulatory peritoneal dialysis (CAPD), necessitated catheter removal. Successful treatment allowed planned CAPD reinitiation, though adhesions impacted catheter function.
Area of Science:
- Nephrology
- Infectious Diseases
- Microbiology
Background:
- Peritonitis is a serious complication for patients on continuous ambulatory peritoneal dialysis (CAPD).
- Mycobacterium fortuitum infections are uncommon but challenging causes of peritonitis in CAPD patients.
- Culture-negative peritonitis can delay diagnosis and appropriate treatment.
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