Yuananda Andria
Department of Urology, Faculty of Medicine Universitas Padjadjaran, General Hospital Hasan Sadikin Bandung, Indonesia.
Urol Case Rep. 2021 Dec 3;41:101963. doi: 10.1016/j.eucr.2021.101963. eCollection 2022 Mar.
Continuous ambulatory peritoneal dialysis (CAPD) has been an effective treatment for end-stage renal disease (ESRD). Tuberculous peritonitis (TBP) in patients on CAPD is a perilous condition. A 28-years-old female presented to the emergency unit with a chief complaint of intermittent abdominal pain and fever. The patient had a history of renal failure and CAPD was inserted. CAPD fluid analysis revealed leukocytes of +3/visual field and positive for acid-fast bacilli. The patient was given antituberculous agents, CAPD removal, and AV shunt installment for the subsequent HD access. A high index of suspicion must always be maintained for CAPD-associated tuberculous peritonitis.
持续性非卧床腹膜透析（CAPD）一直是终末期肾病（ESRD）的有效治疗方法。接受CAPD治疗的患者发生结核性腹膜炎（TBP）是一种危险情况。一名28岁女性因间歇性腹痛和发热为主诉就诊于急诊科。该患者有肾衰竭病史且已置入CAPD。CAPD液分析显示白细胞为+3/视野且抗酸杆菌阳性。给予患者抗结核药物治疗，拔除CAPD，并置入动静脉分流管以备后续进行血液透析。对于与CAPD相关的结核性腹膜炎必须始终保持高度怀疑。
