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An unusual case of peritonitis
1Department of Renal Medicine, Singapore General Hospital.
Annals of the Academy of Medicine, Singapore
|October 1, 1987
Summary
Tuberculous peritonitis is rare in Continuous Ambulatory Peritoneal Dialysis (CAPD) patients. Early diagnosis and treatment with antituberculous therapy can lead to good prognosis, allowing CAPD to continue.
Area of Science:
- Nephrology
- Infectious Diseases
- Gastroenterology
Background:
- Peritonitis is a frequent complication in Continuous Ambulatory Peritoneal Dialysis (CAPD).
- Tuberculous peritonitis is an uncommon cause of peritonitis in CAPD patients, with limited reported cases.
- Previous successful management often involved antituberculous therapy and catheter removal.
Observation:
- This article presents a case of tuberculous peritonitis in a CAPD patient.
- Diagnosis was established via laparotomy.
- The patient demonstrated improvement with antituberculous therapy while CAPD was maintained.
Findings:
- Tuberculous peritonitis in CAPD patients can be successfully treated with antituberculous therapy.
- Continuation of CAPD is feasible in diagnosed and treated cases.
- Early diagnosis is crucial for a favorable outcome.
Implications:
- Clinicians should maintain a high index of suspicion for tuberculous peritonitis in CAPD patients presenting with sterile peritonitis.
- Prompt diagnosis and treatment can prevent the need for CAPD cessation.
- This approach may improve patient outcomes and quality of life in CAPD patients with tuberculosis.