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Peritoneal Dialysis-Associated Peritonitis in 2 Patients with Bartter Syndrome and End-Stage Kidney Disease: A Case
Caterina Vitagliano1, Giulia Florio1, Giovanni Piscopo2
1Department of Medical Translational Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy.
Introduction:
Bartter syndrome (BS) is a rare inherited salt-wasting disorder affecting the thick ascending limb of the loop of Henle. It is characterized by hypokalemic metabolic alkalosis, polyuria, and secondary normotensive hyperaldosteronism. A minority of patients may progress to end-stage kidney disease while maintaining polyuria and normokalemia. Peritoneal dialysis (PD) may represent a suitable option for these patients when kidney transplantation is not available. However, due to its rarity, there are no data on PD-related outcomes.
Methods:
Here, we report 2 cases of PD treatment in BS from two Italian referral centers.
Results:
In both cases, PD was discontinued early because of peritonitis.
Conclusion:
Although no causal relationship can be established, these observations highlight the need for heightened vigilance regarding infectious complications in this population.
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