A Case of Klebsiella pneumoniae Peritonitis in CAPD Patient with Liver Abscess

Korean Journal of Nephrology 2010;29(1):171-174.

Seoung Jae An, M.D.1, Jung Sub Kim, M.D.2, Jung Min Son, M.D.2, Eun Young Seong, M.D.2 Sang Heon Song, M.D.2, Dong Won Lee, M.D.2, Soo Bong Lee, M.D.2 and Ihm Soo Kwak, M.D.2

Clear Spring Clinic¹
Jinhae, Korea Department of Internal Medicine²
Pusan National University School of Medicine, Busan, Korea

증례 : 복막투석 환자에서 간농양에 동반된 Klebsiella pneuoniae 복막염 1예

안승재1 , 김정섭2 , 손정민2 , 성은영2 , 송상헌2 , 이동원2 , 이수봉2 , 곽임수2

맑은샘 내과 의원1 , 부산대학교 의학전문대학원 내과학교실2

Abstract

A 42-year-old male was hospitalized with abdominal pain, dyspnea, and turbid peritoneal fluid. He was diagnosed with hypertension, diabetes and started continuous ambulatory peritoneal dialysis (CAPD) 11 months ago. He was treated with intraperitoneal cefazolin and ceftazidime, and then white blood cell counts of dialysate decreased. Incidentally, liver abscess was found in chest CT performed for the evaluation of dyspnea, and patient was febrile persistently. So percutaneous abscess drainage was done by pigtail catheter. We changed the antibiotics to ceftriaxone and metronidazole, and hemodialysis was started. Klebsiella pneumoniae was cultured from peritoneal fluid and blood simultaneously. We concluded that liver abscess is a primary cause of CAPD peritonitis.

Key Words: Liver abscess, CAPD, Peritonitis