Two Cases of Bacterial Peritonitis in Encapsulating Peritoneal Sclerosis.
10.3904/kjm.2015.89.3.346
- Author:
Hong Jun KIM
1
;
Ji Eun KIM
;
Ka Won KANG
;
Eun Sang YU
;
Yu Ah HONG
;
Jin Wan PARK
;
Young Joo KWON
Author Information
1. Division of Nephrology, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. yjkwon@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Peritoneal fibrosis;
Peritoneal dialysis
- MeSH:
Anti-Bacterial Agents;
Drainage;
Humans;
Malnutrition;
Mortality;
Peritoneal Dialysis;
Peritoneal Fibrosis*;
Peritonitis*;
Renal Dialysis;
Sepsis
- From:Korean Journal of Medicine
2015;89(3):346-352
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis associated with a high mortality rate. Bacterial peritonitis (BP), a complication of EPS treatment, is uncommon, and treatments for BP are not well known. We report two patients who had undergone steroid treatment who developed BP after hemodialysis transfer. In the first case, we treated the BP with antibiotics and performed several surgical drainage procedures; however, the fluid became too thick to drain. This patient died of malnutrition and sepsis. In the second case, antibiotics and surgical enterolysis with peritonectomy were used to treat the BP. Solid food was accepted on day 7 postoperatively, and the patient was stable after 20 months. Thus, surgical enterolysis with peritonectomy may be a good treatment modality for patients with EPS and BP.
