Ferrara, E., Lemire, J., Grimm, P. C., Reznik, V. M., Mendoza, S. A., Leake, J. A., and Benador, N. M. Mycobacterial peritonitis in pediatrie peritoneal dialysis patients. Pediatr. Nephrol. 19(1) (2004)114-117.
Peritonitis is the most common complication and the leading cause of death in p[iota]diatrie peritoneal dialysis (PD) patients. According to the most recent data available from the North American Pediatrie Renal Transplant Cooperative Study (NAPRTCS), approximately 25% of p[iota]diatrie PD patients who die succumb to infection. There are no reported cases of Mycobacterium tuberculosis (MTB) or Mycobacterium aviumintracellulare peritonitis in the NAPRTCS registry. With an increasing incidence of MTB worldwide and the impairment of cellular immunity in chronic renal failure patients, it is not surprising that mycobacterium peritonitis can occur in PD patients. We report two pediatrie PD patients with mycobacterial peritoneal infection diagnosed over an 11 -year period at our institution. One patient presented with a malfunctioning Tenckhoff catheter and again 3 years later with hyponatremia and ascites. The other presented with recurrent culturenegative peritonitis. These cases illustrate the importance of more extensive evaluation of PD complications, to include evaluation for mycobacterium with special media or peritoneal biopsy, in the above clinical settings if the routine work-up is unrevealing.-Authors' Abstract
Copyright International Leprosy Association Jun 2004
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