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Peritoneal Dialysis Associated Peritonitis

 Syn. Peritonitis secondary to peritoneal dialysis , Peritonitis during Peritoneal Dialysis , CAPD associated peritonitis

Signs & Symptoms

 Abdominal pain
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis] Cecil [ 898]
Cloudy peritoneal effluent
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis]
Vomiting
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis]
Nausea
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis]

Physical Examination

 Cloudy peritoneal effluent
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis]
Abdominal tenderness
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis] Cecil [ 898]
Fever
Note: greater than 37.5ºC
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis]

Lab / Serology

 Positive Peritoneal fluid culture
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis]
Elevated peritoneal fluid white cell count
Note: above 100 cells/mm3
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis] Harrison [ 955] Cecil [ 898]
Elevated peritoneal fluid eosinophils
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis]

Imagin Study

Complication

Risk Factors

Cause

 Caused by bowel perforation
Note: may have stool in the dialysate
Ref: Uptodate [ Clinical manifestations and diagnosis of peritonitis in peritoneal dialysis] Cecil [ 897]
Caused by skin organisms
Ref: Harrison [ 955]

Other