title: Splenic abscess and peritonitis in a continuous ambulatory peritoneal dialysis (CAPD) patient.
abstract: A 26-year-old female was on continuous ambulatory peritoneal dialysis (CAPD) because of diabetic end-stage renal failure. She developed an acute peritonitis that relapsed repeatedly despite appropriate antibiotic treatment. Investigations showed the presence of a splenic abscess, and splenectomy and peritoneal cannula removal were required. The patient died of myocardial infarction two weeks postoperatively. This is the first recorded case of peritonitis secondary to splenic abscess in a CAPD patient. Autopsy findings suggest that the abscess developed from infection of a splenic infarct.
authors.affiliation: Department of Medicine, Toronto Western Hospital, University of Toronto, Ontario, Canada.
authors.forename: P
authors.initials: P
authors.lastname: Blake
authors.forename: G
authors.initials: G
authors.lastname: Abraham
authors.forename: J
authors.initials: J
authors.lastname: Bargman
authors.forename: S
authors.initials: S
authors.lastname: Vas
authors.forename: R
authors.initials: R
authors.lastname: Mathews
authors.forename: B
authors.initials: B
authors.lastname: Haberstroh
authors.forename: D G
authors.initials: DG
authors.lastname: Oreopoulos
mesh_terms: D000038:Abscess / Q000382:microbiology*; D000328:Adult; D003928:Diabetic Nephropathies / Q000150:complications / Q000628:therapy; D004927:Escherichia coli Infections; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000382:microbiology*; D012008:Recurrence; D013158:Splenic Diseases / Q000382:microbiology*