This report of tuberculous peritonitis in a CAPD patient is the eighth in the world's literature. A 54-year-old black woman presented with fever of recent onset and signs of an acute abdomen after 13 months of uncomplicated CAPD. After three weeks of investigation, supportive therapy, antibiotics and hemodialysis, a laparotomy established the diagnosis of tuberculous peritonitis. She responded promptly to antituberculous therapy.
KaranicolasS., OreopoulosD.G., IzattS.H.Epidemic of aseptic peritonitis caused by the endotoxin during chronic peritoneal dialysis.NEJM1977; 296: 1336–1337.
4.
ArfaniaD., EverettE.D., NolphK.D., RubinJ.Uncommon causes of peritonitis in patients undergoing (continuous ambulatory) peritonea] dialy, is.Arch Intern Med1981; 141: 61–64.
5.
BandJ.D., WardJ.I.Fraser DW et al. Peritonitis due to mycobacterium chelonei-like organism associated with intennittent chronic peritoneal dialysis.J. Infect Dis1982; 145. 9–17.
6.
Ambulatory peritonitis.Lancet1982: i: 1104–1105.
7.
VernonS.E., DominguezC.Campylo bacter and peritoneal dialysis.Ann Intern Med1982; 96: 534.
8.
CrespoJ.Dialysis related infection.1 Heart and Lung1982; 11: 111–117.
9.
OreopoulousD.G., ClaytonS., DombrosN.Nineteen months experience with continuous ambulatory peritoneal dialysis (CAPD).Europ Dial & Trans Assoc (Proc)1979; 16: 178–83.
10.
SteadW.W., DuttA.K.What's new in tuberculosis?Am J Med1981: 71: 1–4.
11.
TuckerT., AdamsF.F., MoffattT.Tuberculous peritonitis in home dialysis patients. (Abstract)Am Soc Nephrol1979; 130A.
O'ConnorJ., MacConnickM.Tuberculous peritonitis in patients on CAPD -the importance of lymphocytosis in the peritoneal fluid.Perit Dial Bull1981; 1: 106.
14.
MortordD.W.High index of suspicion for tuberculous peritonitis in CAPD patients.Perit Dial Bull1982; 2: 189–190.
15.
EnarsonD.A., AshleyM.J., GrzybowskiS.Non-respiratory tuberculosis in Canada.Am J Epidemol1980; 112. 341–351.
16.
MalkanathieD., TiltonR.C.Tuberculous pelitonitis-review of the literature.Connecticut Med1978; 42: 493497.
HuberH., PastnerD., DittrichP., BraunsteinerH.In vitro reactivity of human lymphocytes in urcmia -a comparison with impairment of delayed hypersensitivity.Clin Exp Immunol1969; 5. 75.
19.
OsIerW.Principles and Practice of Medicine.New York, Appleton century Crofts Co., 1982, p. 237.
20.
VyravanathanS., JeyarajahR.Tuberculosis peritonitis: A review of thirty five cases.Postgrad Med J1980; 56. 649–651.
21.
GanghiV.C., KamadanaM.R., IngT.S.Aseptic peritonitis in patients on maintenance peritoneal dialysis.Nephron1979; 24: 257–259.
22.
KnightK.R., PolakA., CrumpJ., MaskellR.Laboratory diagnosis and oral treatment of CAPD peritonitis.Lancet1982: ii: 1301–1304.
23.
SinghM.M., BhargavaA.N., JainK.P.Tuberculous peritonitis. An evaluation of pathogenic mechanisms, diagnostic procedures and therapeutic measures.NEJM1969; 281: 1091–1094.
24.
WolfeJ.H.N., BehnA.R., JacksonB.T.Tuberculous peritonitis and role of diagnostic laparoscopy.Lancet1979: i: 852–853.
