An unusual case of tuberculous peritonitis complicating continuous ambulatory peritoneal dialysis
Journal
Dialysis and Transplantation
Journal Volume
30
Journal Issue
11
Pages
758-760+783
Date Issued
2001
Author(s)
Lien W.-C.
Abstract
We describe a case of tuberculous peritonitis with unusual manifestations in a continuous ambulatory peritoneal dialysis (CAPD) patient. In such patients, tuberculous peritonitis typically produces a neutrophil predominance in dialysate differential counts. In the presented patient, dialysate analysis revealed only lymphocyte predominance. Additionally, his condition improved, with no white blood cells found in dialysate samples after empirical cefazolin and gentamycin antimicrobial therapy. Nevertheless, dialysate samples did yield Mycobacterium tuberculosis during the sixth week of hospitalization, and a diagnosis of tuberculous peritonitis was made. This case shows that tuberculous peritonitis should not be excluded in a CAPD patient, even when showing a satisfactory clinical response to empirical antibiotics.
SDGs
Other Subjects
cefazolin; gentamicin; adult; antimicrobial activity; article; case report; clinical feature; continuous ambulatory peritoneal dialysis; dialysate; human; lymphocyte; male; Mycobacterium tuberculosis; priority journal; tuberculous peritonitis
Type
journal article