Sürekli ayaktan periton diyaliz programındaki bir hastada tüberküloz peritoniti
Peritonit, sürekli ayaktan periton diyalizinin sık görülen ciddi bir komplikasyonudur. Fakat bu hastalarda tüberküloz peritonitine nadir rastlanmaktadır. Biz sürekli ayaktan periton diyalizi tedavisi uygulanan ve tüberküloz peritoniti saptanan bir olgu sunuyoruz. Olgumuzda peritoneal sıvıda ARB görüldü, dörtlü antitüberküloz tedavisi başlandı. Tedaviye yanıtı tam olan hastada, halen dörtlü tedaviye ve periton diyalizine devam edilmektedir. Tüberküloz peritoniti sürekli ayaktan periton diyalizinin nadir, fakat ciddi bir komplikasyonudur. Sürekli ayaktan periton diyalizi yapılan hastalarda, kültür negatif peritonit varlığında ve konvansiyonel antibiyotiklere yanıt alınamadığında, tüberküloz peritoniti akla gelmelidir. Tedavinin başarısı için kataterin çıkarılması şart değildir.
A patient with tuberculosis peritonitis undergoing continuous ambulatory peritoneal dialysis.
Peritonitis is the most common and serious complication of continuous ambulatory peritoneal dialysis. Nevertheless, tuberculosis peritonitis in these patients occur infrequently. A case of tuberculous peritonitis in a patient receiving continuous ambulatory peritoneal dialysis therapy is reported. Our patient had a positive ARB smear of the peritoneal fluid; quadruple therapy for tuberculosis has been started. The response to treatment was promptly. She is stil on treatment and receiving CAPD. Tuberculosis peritonitis is rare but important complication of continuous ambulatory peritoneal dialysis. Tuberculous peritonitis should always be considered when patients on CAPD develop culture negative peritonitis treated with conventional antibiotics without improvement. Removal of cathater is not mandatory in the management of this state.
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