Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case report

Pleuroperitoneal communication (PPC) is a rare mechanical complication of peritoneal dialysis (PD), which causes dialysate to move from the peritoneal cavity to the pleural cavity, resulting in pleural effusion. Typically, PPC is discovered through pleural effusion in PD patients who are not in volu...

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Main Authors: Juhee Park, Heeyon Yoon, Jiwon Jung, Jina Lee, Joo Hoon Lee
Format: Article
Language:English
Published: Korean Society of Pediatric Nephrology 2023-06-01
Series:Childhood Kidney Diseases
Subjects:
Online Access:http://chikd.org/upload/pdf/ckd-23-008.pdf
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author Juhee Park
Heeyon Yoon
Jiwon Jung
Jina Lee
Joo Hoon Lee
author_facet Juhee Park
Heeyon Yoon
Jiwon Jung
Jina Lee
Joo Hoon Lee
author_sort Juhee Park
collection DOAJ
description Pleuroperitoneal communication (PPC) is a rare mechanical complication of peritoneal dialysis (PD), which causes dialysate to move from the peritoneal cavity to the pleural cavity, resulting in pleural effusion. Typically, PPC is discovered through pleural effusion in PD patients who are not in volume overload status. A unique characteristic of the pleural effusion caused by PPC is that it is not resolved by increasing ultrafiltration by dialysis. In this report, we present a 7-year-old girl with PD after birth with the history of various infectious PD-related complications, presenting with fever ongoing for 6 months. PPC-associated pleuritis was suspected as the cause of fever, which eventually developed after long-term PD and induced complicated pleural effusion, lung inflammation, and prolonged fever for 6 months.
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spelling doaj.art-18b7ddcc603e437eaae7c61105f6c9fc2023-09-05T04:20:02ZengKorean Society of Pediatric NephrologyChildhood Kidney Diseases2384-02422384-02502023-06-01271465310.3339/ckd.23.008785Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case reportJuhee Park0Heeyon Yoon1Jiwon Jung2Jina Lee3Joo Hoon Lee4Department of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, Republic of KoreaPleuroperitoneal communication (PPC) is a rare mechanical complication of peritoneal dialysis (PD), which causes dialysate to move from the peritoneal cavity to the pleural cavity, resulting in pleural effusion. Typically, PPC is discovered through pleural effusion in PD patients who are not in volume overload status. A unique characteristic of the pleural effusion caused by PPC is that it is not resolved by increasing ultrafiltration by dialysis. In this report, we present a 7-year-old girl with PD after birth with the history of various infectious PD-related complications, presenting with fever ongoing for 6 months. PPC-associated pleuritis was suspected as the cause of fever, which eventually developed after long-term PD and induced complicated pleural effusion, lung inflammation, and prolonged fever for 6 months.http://chikd.org/upload/pdf/ckd-23-008.pdfcase reportschildfeverperitoneal dialysispleural effusion
spellingShingle Juhee Park
Heeyon Yoon
Jiwon Jung
Jina Lee
Joo Hoon Lee
Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case report
Childhood Kidney Diseases
case reports
child
fever
peritoneal dialysis
pleural effusion
title Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case report
title_full Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case report
title_fullStr Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case report
title_full_unstemmed Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case report
title_short Pleuroperitoneal communication-associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis: a case report
title_sort pleuroperitoneal communication associated pleuritis as an uncommon cause of fever of unknown origin in a child on peritoneal dialysis a case report
topic case reports
child
fever
peritoneal dialysis
pleural effusion
url http://chikd.org/upload/pdf/ckd-23-008.pdf
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