title: Fulminant sclerosing peritonitis immediately following acute bacterial peritonitis.
abstract: Sclerosing peritonitis (SP) is an uncommon disease in the peritoneal dialysis population, but the considerable morbidity and mortality associated with it make early diagnosis and treatment imperative. We describe a case illustrating that a fulminant variant of SP can occur as a second phase phenomenon immediately following treatment of acute bacterial peritonitis, a setting in which the diagnosis may be masked and aggressive immunosuppression considered potentially hazardous. Treatment with corticosteroid alone appears particularly effective for SP occurring in this setting.
authors.affiliation: Regional Nephrology Unit, Level 11, Belfast City Hospital, Belfast, UK. aecourtney@doctors.org.uk
authors.forename: Aisling E
authors.initials: AE
authors.lastname: Courtney
authors.forename: Ciaran C
authors.initials: CC
authors.lastname: Doherty
mesh_terms: D000208:Acute Disease; D001424:Bacterial Infections; D005260:Female; D006801:Humans; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010537:Peritoneum / Q000473:pathology*; D010538:Peritonitis / Q000382:microbiology*; D012598:Sclerosis; D013997:Time Factors