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Reinsertion of Peritoneal Dialysis Catheter in a Patient With Nocardial Peritonitis and Tunnel Abscess
Veenaa Manjari S1, Rajeevalochana Parthasarathy1, Sanjeev Nair1
1Department of Nephrology, The Madras Medical Mission, Chennai, India.
Abstract:
Nocardial peritonitis is rare and difficult to diagnose and treat in patients on continuous ambulatory peritoneal dialysis (CAPD). Nocardia-related PD peritonitis has high mortality. There is not much data on the reinsertion of peritoneal dialysis catheters after PD peritonitis. We describe a case of nocardial peritonitis associated with septic shock necessitating Tenckhoff catheter removal. After appropriate treatment with 7 months of trimethoprim-sulfamethoxazole, the PD catheter was reinserted. After 1 year, the patient continues to be on CAPD without recurrence.
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