Document Detail

Cocoon-like fibroadhesive tuberculous peritonitis in a peritoneal dialysis patient.
MedLine Citation:
PMID:  23282211     Owner:  NLM     Status:  In-Data-Review    
Tuberculous peritonitis is a devastating complication of peritoneal dialysis (PD). Presentations of tuberculous peritonitis range from the common wet ascitic form to the rare fibroadhesive form, which is clinically indistinguishable from encapsulating peritoneal sclerosis. We describe a 76-year-old man on continuous ambulatory PD for three months developing wet ascitic form of tuberculous peritonitis. Three weeks after institution of antituberculous therapy and removal of PD catheter, his abdominal pain recurred and an encapsulating peritoneal sclerosis-like intestinal obstruction was noted. A rare fibroadhesive form of tuberculous peritonitis associated with the paradoxical response to antituberculous therapy was considered by excluding noncompliance, drug resistance and adverse effects, and other concomitant infections. After surgical enterolysis and continuation of antituberculous treatment, he recovered uneventfully. Our case might be the first report regarding paradoxical deterioration to antituberculous treatment in dialysis patients.
Wei-Cheng Tseng; Der-Cherng Tarng
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Chinese journal of physiology     Volume:  55     ISSN:  0304-4920     ISO Abbreviation:  Chin J Physiol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2013-01-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7804502     Medline TA:  Chin J Physiol     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  361-5     Citation Subset:  IM    
Division of Nephrology, Department of Medicine, Taitung Veterans Hospital, Taitung 95050, Taiwan, Republic of China.
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