We have a 62- year- old female patient who was on PD for 7 years (polycystic renal disease) and had to remove the Tenckhoff catheter on December 2009 after a serious and non responsive E. coli peritonitis (first episode ever!). She is on hemodialysis since then but she is not doing well. She developed refractory ascites with peritoneal fluid count with 11500 cells/mm³, 100% monocytes and sterile culture. There is no fever and no acid-fast bacilli in the peritoneal fluid. We thought about encapsulating peritoneal sclerosis and /or tuberculous peritonitis. She is on antituberculous drugs while we wait other culture results (fungi and M.tuberculosis). The CT was inconclusive for EPS. The patient has normal intestinal function but can hardily eat because of the abdominal volume(four paracentesis already).She will perform a peritoneal biopsy in a few days. Any other thoughts?

Questions About PD

resolved
Public
Marcia, F, Doctor/MD from Rio de Janeiro, Brazil asked
We have a 62- year- old female patient who was on PD for 7 years (polycystic renal disease) and had to remove the Tenckhoff catheter on December 2009 after a serious and non responsive E. coli peritonitis (first episode ever!). She is on hemodialysis since then but she is not doing well. She developed refractory ascites with peritoneal fluid count with 11500 cells/mm³, 100% monocytes and sterile culture. There is no fever and no acid-fast bacilli in the peritoneal fluid. We thought about encapsulating peritoneal sclerosis and /or tuberculous peritonitis. She is on antituberculous drugs while we wait other culture results (fungi and M.tuberculosis). The CT was inconclusive for EPS. The patient has normal intestinal function but can hardily eat because of the abdominal volume(four paracentesis already).She will perform a peritoneal biopsy in a few days. Any other thoughts?

1 answer

This is most likely EPS….

#1

Please login to submit an answer