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oai:hiroshima.repo.nii.ac.jp:02013195 2025-06-02T02:59:30Z 1727147343679:1730442224523:1730442328441

Tuberculous Peritonitis in a Patient Undergoing Continuous Ambulatory Peritoneal Dialysis Yorioka, Noriaki Yorioka Noriaki Oda, Hiroaki Oda Hiroaki Joarder, Zahid Hossain Joarder Zahid Hossain Kobayashi, Makoto Kobayashi Makoto Harada, Satoru Harada Satoru Yamakido, Michio Yamakido Michio open access Tuberculous peritonitis Continuous ambulatory peritoneal dialysis Mycobacterium tuberculosis 490 Complication of peritonitis developed in a 61 year old patient who was undergoing continuous ambulatory peritoneal dialysis (CAPD) and whose dialysate culture was negative for both aerobic and anaerobic bacteria and fungi. Despite the administration of various antibiotics and repeated mechanical lavages, inflammatory response and fever could not be controlled and therefore on the 8th hospital day the catheter was removed and hemodialysis was commenced. On about the 40th day thereafter, culture test of CAPD dialysate demonstrated mycobacterium tuberculosis and thus anti-tuberculous therapy was commenced, which led to a favorable course. It is considered that tuberculosis should be suspected in CAPD patients complicated with peritonitis whose dialysate culture is negative for both aerobic and anaerobic bacteria and fungi. Hiroshima University Medical Press 1988-06 eng departmental bulletin paper VoR https://hiroshima.repo.nii.ac.jp/records/2013195 3170255 0018-2052 AA00664312 Hiroshima Journal of Medical Sciences Hiroshima Journal of Medical Sciences 37 2 93 93 95 https://hiroshima.repo.nii.ac.jp/record/2013195/files/HiroshimaJMedSci_37_93.pdf 271.3 KB