A complicated case of refractory multiple drug-resistant peritoneal dialysis-associated peritonitis due to teratoma

Area of Science:

• Nephrology
• Oncology
• Infectious Diseases

Background:

• Peritoneal dialysis-associated peritonitis is a major cause of treatment failure and death.
• Multidrug-resistant organisms complicate peritonitis management, especially with intra-abdominal issues.

Observation:

• A complex case of persistent multidrug-resistant peritonitis in a peritoneal dialysis patient was observed.
• The patient had a history of complex intra-abdominal conditions.

Findings:

• Refractory peritonitis was ultimately diagnosed as originating from a teratoma.
• Successful treatment involved surgical teratoma excision and sensitive antibiotic therapy.

Implications:

• This case highlights the importance of considering rare intra-abdominal pathologies in refractory peritonitis.
• Prompt diagnosis and multimodal treatment can lead to favorable outcomes in complex peritoneal dialysis peritonitis cases.