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10.
Nefrologia ; 29(2): 170-2, 2009.
Article in Spanish | MEDLINE | ID: mdl-19396324

ABSTRACT

We report a patient in Automatic Peritoneal Dialysis (APD) with tuberculous peritonitis by possible peritoneal infection due to the proximity between fallopian tube and the left ovary, a peritoneal liquid culture was constantly negative. The patient presented a bad clinic evolution. Her only medical history was hypercalcemia six months before developing a peritonitis and occasionally nausea and vomits To confirm the diagnosis it was needed a peritoneal biopsy by means of a laparoscopy with a removal of the peritoneal catheter and left anexectomy. Now, the patient is asintomatic in daily home hemodialysis.


Subject(s)
Peritoneal Dialysis , Peritonitis, Tuberculous/etiology , Adnexal Diseases/diagnosis , Adnexal Diseases/microbiology , Adnexal Diseases/surgery , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Antitubercular Agents/administration & dosage , Antitubercular Agents/therapeutic use , Combined Modality Therapy , Drug Therapy, Combination , False Negative Reactions , Female , Humans , Hypercalcemia/etiology , Hypoalbuminemia/etiology , Kidney Failure, Chronic/complications , Kidney Failure, Chronic/therapy , Laparoscopy , Middle Aged , Ovarian Cysts/complications , Ovariectomy , Peritonitis, Tuberculous/diagnosis , Peritonitis, Tuberculous/drug therapy , Peritonitis, Tuberculous/surgery , Pneumoperitoneum/etiology , Tuberculoma/diagnosis , Tuberculoma/surgery , Tuberculosis, Urogenital/complications , Tuberculosis, Urogenital/surgery
12.
Nefrología (Madr.) ; 29(2): 170-172, mar.-abr. 2009.
Article in Spanish | IBECS | ID: ibc-104372

ABSTRACT

Presentamos el caso de una paciente en Diálisis Peritoneal Automática (DPA) con peritonitis tuberculosa y posible vía de infección peritoneal por contigüidad desde trompa y ovario izquierdo, con cultivo de líquido peritoneal persistentemente negativo y mala evolución clínica. Como únicos antecedentes, destacaba cuadro de hipercalcemia seis meses antes de la peritonitis, náuseas y vómitos ocasionales. El diagnóstico de confirmación se realizó mediante biopsia peritoneal vía laparoscópica con retirada de caté-ter peritoneal y anexectomía izquierda. Actualmente, la paciente se encuentra asintomática realizando hemodiálisis diaria domiciliaria (AU)


We report a patient in automatic peritoneal dialysis(APD) with tuberculous peritonitis by possible peritoneal infection due to the proximity between fallopian tube and the left ovary, a peritoneal liquid culture was constantly negative. The patient presented a bad clinic evolution. Her only medical history was hypercalcemia six months before developing aperitonitis and occasionally nausea and vomits To confirm the diagnosis it was needed a peritoneal biopsy by means of a laparoscopy with a removal of the peritoneal catheter and left anexectomy. Now, the patient is asintomatic in daily home hemodialysis (AU)


Subject(s)
Humans , Female , Middle Aged , Peritonitis, Tuberculous/complications , Peritoneal Dialysis , Renal Insufficiency, Chronic/complications , Biopsy , Immunity, Cellular , Hypercalcemia/complications , Anti-Bacterial Agents/therapeutic use
20.
Nefrologia ; 27(1): 81-2, 2007.
Article in Spanish | MEDLINE | ID: mdl-17402885

ABSTRACT

Prototheca spp exits throughout nature but only infrequently cause infection in humans. Most of the cases of human infection have involved the skin or subcutaneous tissues, but there have been reports of rare cases of protothecosis of the urinary tract, and disseminated disease. The species most commonly isolated is Prototheca wickerhamii. Few cases of peritonitis due to P. wickerhamii in peritoneal dialysis had been reported. We report a successful treatment of Prototheca peritonitis complicating peritoneal dialysis with amphotericin, itraconazole and removal of the catheter.


Subject(s)
Infections , Peritoneal Dialysis , Peritonitis/etiology , Prototheca , Adult , Humans , Infections/drug therapy , Male , Peritonitis/drug therapy
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