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KMID : 0882420150890030346
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Korean Journal of Medicine
2015 Volume.89 No. 3 p.346 ~ p.352
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Two Cases of Bacterial Peritonitis in Encapsulating Peritoneal Sclerosis
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Kim Hong-Jun
Kim Ji-Eun
Kang Ka-Won
Yu Eun-Sang
Hong Yu-Ah
Park Jin-Wan
Kwon Young-Joo
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Abstract
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Encapsulating peritoneal sclerosis (EPS) is a rare complication of peritoneal dialysis associated with a high mortality rate. Bacterial peritonitis (BP), a complication of EPS treatment, is uncommon, and treatments for BP are not well known. We report two patients who had undergone steroid treatment who developed BP after hemodialysis transfer. In the first case, we treated the BP with antibiotics and performed several surgical drainage procedures; however, the fluid became too thick to drain. This patient died of malnutrition and sepsis. In the second case, antibiotics and surgical enterolysis with peritonectomy were used to treat the BP. Solid food was accepted on day 7 postoperatively, and the patient was stable after 20 months. Thus, surgical enterolysis with peritonectomy may be a good treatment modality for patients with EPS and BP.
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KEYWORD
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Peritoneal fibrosis, Peritoneal dialysis
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