Korean J Nephrol.  2010 Jan;29(1):171-174.

A Case of Klebsiella pneumoniae Peritonitis in CAPD Patient with Liver Abscess

• An SJ
• Kim JS
• Son JM
• Seong EY
• Song SH
• Lee DW
• Lee SB
• Kwak IS

Abstract

A 42-year-old male was hospitalized with abdominal pain, dyspnea, and turbid peritoneal fluid. He was diagnosed with hypertension, diabetes and started continuous ambulatory peritoneal dialysis (CAPD) 11 months ago. He was treated with intraperitoneal cefazolin and ceftazidime, and then white blood cell counts of dialysate decreased. Incidentally, liver abscess was found in chest CT performed for the evaluation of dyspnea, and patient was febrile persistently. So percutaneous abscess drainage was done by pigtail catheter. We changed the antibiotics to ceftriaxone and metronidazole, and hemodialysis was started. Klebsiella pneumoniae was cultured from peritoneal fluid and blood simultaneously. We concluded that liver abscess is a primary cause of CAPD peritonitis.

Keyword

Liver abscess; CAPD; Peritonitis

MeSH Terms

Abdominal Pain
Abscess
Adult
Anti-Bacterial Agents
Ascitic Fluid
Catheters
Cefazolin
Ceftazidime
Ceftriaxone
Drainage
Dyspnea
Humans
Hypertension
Klebsiella
Klebsiella pneumoniae
Leukocyte Count
Liver
Liver Abscess
Male
Metronidazole
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis
Renal Dialysis
Thorax
Anti-Bacterial Agents
Cefazolin
Ceftazidime
Ceftriaxone
Metronidazole