Simbli Mohammed Amin, Niaz Faraz A, Al-Wakeel Jamal S
Division of Nephrology, Department of Medicine, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Saudi J Kidney Dis Transpl. 2012 May;23(3):635-41.
Encapsulating peritoneal sclerosis (EPS) is a rare but serious complication seen in patients undergoing continuous ambulatory peritoneal dialysis (CAPD) or automated peritoneal dialysisAPD after prolonged duration on dialysis. Patients usally present with vague complaints of abdominal pain, vomitting, diarrhea, weight loss and change in peritoneal transport characte-ristics. High degree of suspicion is needed in PD patients who have been on dialysis for prolonged duration and have been using high-concentrated dialysis fluid. Mycobacterium fortuitum (MF) is a rapidly growing, non-tuberculous mycobacterium that has rarely been reported as a pathogen causing peritonits in patients on PD. We report a case of CAPD presenting with culture-negative peritonits, which, on specific culture, grew MF and, on radiological evaluation, showed diagnostic features of EPS.
包裹性腹膜硬化（EPS）是一种罕见但严重的并发症，见于长期接受持续性非卧床腹膜透析（CAPD）或自动化腹膜透析（APD）的患者。患者通常表现为腹痛、呕吐、腹泻、体重减轻及腹膜转运特征改变等模糊症状。对于长期接受透析且使用高浓度透析液的腹膜透析患者，需要高度怀疑。偶然分枝杆菌（MF）是一种快速生长的非结核分枝杆菌，很少被报道为导致腹膜透析患者发生腹膜炎的病原体。我们报告一例CAPD患者，其表现为培养阴性的腹膜炎，经特殊培养培养出MF，经影像学评估显示有EPS的诊断特征。
