A Case of Klebsiella pneumoniae Peritonitis in CAPD Patient with Liver Abscess.
- Author:
Seoung Jae AN
1
;
Jung Sub KIM
;
Jung Min SON
;
Eun Young SEONG
;
Sang Heon SONG
;
Dong Won LEE
;
Soo Bong LEE
;
Ihm Soo KWAK
Author Information
1. Clear Spring Clinic, Jinhae, Korea.
- Publication Type:Case Report
- Keywords:
Liver abscess;
CAPD;
Peritonitis
- MeSH:
Abdominal Pain;
Abscess;
Adult;
Anti-Bacterial Agents;
Ascitic Fluid;
Catheters;
Cefazolin;
Ceftazidime;
Ceftriaxone;
Drainage;
Dyspnea;
Humans;
Hypertension;
Klebsiella;
Klebsiella pneumoniae;
Leukocyte Count;
Liver;
Liver Abscess;
Male;
Metronidazole;
Peritoneal Dialysis, Continuous Ambulatory;
Peritonitis;
Renal Dialysis;
Thorax
- From:Korean Journal of Nephrology
2010;29(1):171-174
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 42-year-old male was hospitalized with abdominal pain, dyspnea, and turbid peritoneal fluid. He was diagnosed with hypertension, diabetes and started continuous ambulatory peritoneal dialysis (CAPD) 11 months ago. He was treated with intraperitoneal cefazolin and ceftazidime, and then white blood cell counts of dialysate decreased. Incidentally, liver abscess was found in chest CT performed for the evaluation of dyspnea, and patient was febrile persistently. So percutaneous abscess drainage was done by pigtail catheter. We changed the antibiotics to ceftriaxone and metronidazole, and hemodialysis was started. Klebsiella pneumoniae was cultured from peritoneal fluid and blood simultaneously. We concluded that liver abscess is a primary cause of CAPD peritonitis.
