Splenic abscess and peritonitis in a continuous ambulatory peritoneal dialysis (CAPD) patient
Blake, P.; Abraham, G.; Bargman, J.; Vas, S.; Mathews, R.; Haberstroh, B.; Oreopoulos, D.G.
Peritoneal Dialysis International Journal of the International Society for Peritoneal Dialysis 9(1): 73-74
ISSN/ISBN: 0896-8608 PMID: 2488187 Accession: 041414020
A 26-year-old female was on continuous ambulatory peritoneal dialysis (CAPD) because of diabetic end-stage renal failure. She developed an acute peritonitis that relapsed repeatedly despite appropriate antibiotic treatment. Investigations showed the presence of a splenic abscess, and splenectomy and peritoneal cannula removal were required. The patient died of myocardial infarction two weeks postoperatively. This is the first recorded case of peritonitis secondary to splenic abscess in a CAPD patient. Autopsy findings suggest that the abscess developed from infection of a splenic infarct.