Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis
Introduction: Complications of peritoneal dialysis (PD) such as exit-site infections and PD peritonitis are common reasons for admission to General Internal Medicine wards. Culprit organisms range from typical skin flora to rarer complicated atypical organisms such as non-tuberculous mycobacteria. E...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SMC MEDIA SRL
2022-03-01
|
| Series: | European Journal of Case Reports in Internal Medicine |
| Subjects: | |
| Online Access: | https://www.ejcrim.com/index.php/EJCRIM/article/view/3173 |
| _version_ | 1828256788630208512 |
|---|---|
| author | Soroush Rouhani Nikesh Adunuri |
| author_facet | Soroush Rouhani Nikesh Adunuri |
| author_sort | Soroush Rouhani |
| collection | DOAJ |
| description | Introduction: Complications of peritoneal dialysis (PD) such as exit-site infections and PD peritonitis are common reasons for admission to General Internal Medicine wards. Culprit organisms range from typical skin flora to rarer complicated atypical organisms such as non-tuberculous mycobacteria. Encapsulating peritoneal sclerosis (EPS) is a rarer complication of PD characterized by peritoneal inflammation, ileus and fibrosis with high morbidity, few management options, and poor prognosis.
Case Description: We report the case of a patient with a history of end-stage renal disease on peritoneal dialysis who presented with undifferentiated peritonitis and ileus refractory to standard antimicrobial therapy. Subsequent ascitic cultures were positive for Mycobacterium abscessus, and CT imaging was consistent with EPS. To date, EPS secondary to M. abscessus peritonitis has not previously been described.
Discussion and Conclusion: This report describes the diagnostic process and treatment offered to this patient and his treatment outcomes over 8 months. It highlights the importance of prompt identification of patients at risk, timely eradication of high-risk pathogens, and transition to haemodialysis to limit morbidity and improve patient prognosis. |
| first_indexed | 2024-04-13T02:33:04Z |
| format | Article |
| id | doaj.art-a4daa3e8f7a04abebd5578c86d38fe85 |
| institution | Directory Open Access Journal |
| issn | 2284-2594 |
| language | English |
| last_indexed | 2024-04-13T02:33:04Z |
| publishDate | 2022-03-01 |
| publisher | SMC MEDIA SRL |
| record_format | Article |
| series | European Journal of Case Reports in Internal Medicine |
| spelling | doaj.art-a4daa3e8f7a04abebd5578c86d38fe852022-12-22T03:06:30ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942022-03-0110.12890/2022_0031732708Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus PeritonitisSoroush Rouhani0Nikesh Adunuri1Department of Medicine, London Health Sciences Centre, Schulich School of Medicine, University of Western Ontario, London, ON, CanadaDepartment of General Internal Medicine, Windsor Regional Hospital, Schulich School of Medicine, University of Western Ontario, London, ON, CanadaIntroduction: Complications of peritoneal dialysis (PD) such as exit-site infections and PD peritonitis are common reasons for admission to General Internal Medicine wards. Culprit organisms range from typical skin flora to rarer complicated atypical organisms such as non-tuberculous mycobacteria. Encapsulating peritoneal sclerosis (EPS) is a rarer complication of PD characterized by peritoneal inflammation, ileus and fibrosis with high morbidity, few management options, and poor prognosis. Case Description: We report the case of a patient with a history of end-stage renal disease on peritoneal dialysis who presented with undifferentiated peritonitis and ileus refractory to standard antimicrobial therapy. Subsequent ascitic cultures were positive for Mycobacterium abscessus, and CT imaging was consistent with EPS. To date, EPS secondary to M. abscessus peritonitis has not previously been described. Discussion and Conclusion: This report describes the diagnostic process and treatment offered to this patient and his treatment outcomes over 8 months. It highlights the importance of prompt identification of patients at risk, timely eradication of high-risk pathogens, and transition to haemodialysis to limit morbidity and improve patient prognosis.https://www.ejcrim.com/index.php/EJCRIM/article/view/3173encapsulating peritoneal sclerosisperitoneal dialysisperitonitisnon-tuberculous mycobacteriamycobacterium abscessus |
| spellingShingle | Soroush Rouhani Nikesh Adunuri Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis European Journal of Case Reports in Internal Medicine encapsulating peritoneal sclerosis peritoneal dialysis peritonitis non-tuberculous mycobacteria mycobacterium abscessus |
| title | Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis |
| title_full | Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis |
| title_fullStr | Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis |
| title_full_unstemmed | Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis |
| title_short | Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis |
| title_sort | refractory peritonitis and small bowel ileus a case of encapsulating peritoneal sclerosis secondary to mycobacterium abscessus peritonitis |
| topic | encapsulating peritoneal sclerosis peritoneal dialysis peritonitis non-tuberculous mycobacteria mycobacterium abscessus |
| url | https://www.ejcrim.com/index.php/EJCRIM/article/view/3173 |
| work_keys_str_mv | AT soroushrouhani refractoryperitonitisandsmallbowelileusacaseofencapsulatingperitonealsclerosissecondarytomycobacteriumabscessusperitonitis AT nikeshadunuri refractoryperitonitisandsmallbowelileusacaseofencapsulatingperitonealsclerosissecondarytomycobacteriumabscessusperitonitis |