Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & EMBASE  
     Home | Subscribe | Feedback  

CASE REPORT
[View FULLTEXT] [Download PDF
 
Year : 2014  |  Volume : 60  |  Issue : 2  |  Page : 200-201  

Increasing serum calcium levels and recent return from transplantation as clues to the tuberculous nature of refractory peritoneal dialysis peritonitis

L Rodriguez-Osorio, B Fernandez-Fernandez, C Martin-Cleary, A Ortiz 
 Department of Nephrology, Biomedical Research Institute IIS-Foundation Jimenez Diaz/Autonomous University of Madrid, Renal Research Institute Queen Sofia (IRSIN) and Kidney Research Network REDINREN, Madrid, Spain

Correspondence Address:
Dr. A Ortiz
Department of Nephrology, Biomedical Research Institute IIS-Foundation Jimenez Diaz/Autonomous University of Madrid, Renal Research Institute Queen Sofia (IRSIN) and Kidney Research Network REDINREN, Madrid
Spain

Peritoneal tuberculosis is an uncommon complication of peritoneal dialysis in Europe. It is more common in Asian immigrants. A delayed diagnosis is frequent and impairs patient outcomes. We present two cases of peritoneal tuberculosis with common features that may help suspect the disease early countries with a low incidence. Both patients were females (of Spanish origin) who had recently restarted peritoneal dialysis following kidney transplantation. Both developed bacterial peritonitis clinically that was refractory to conventional antibiotics, despite clearance of bacteria. Both stopped calcium-containing phosphate binders because of increasing serum calcium that in one case led to frank hypercalcemia that persisted despite low calcium dialysate. Peritoneal biopsy was the first positive test in both cases. This report emphasizes the recent return from transplantation and rising serum calcium levels as features that should alert the physician of a potential underlying tuberculous peritonitis.


How to cite this article:
Rodriguez-Osorio L, Fernandez-Fernandez B, Martin-Cleary C, Ortiz A. Increasing serum calcium levels and recent return from transplantation as clues to the tuberculous nature of refractory peritoneal dialysis peritonitis.J Postgrad Med 2014;60:200-201


How to cite this URL:
Rodriguez-Osorio L, Fernandez-Fernandez B, Martin-Cleary C, Ortiz A. Increasing serum calcium levels and recent return from transplantation as clues to the tuberculous nature of refractory peritoneal dialysis peritonitis. J Postgrad Med [serial online] 2014 [cited 2020 Apr 2 ];60:200-201
Available from: http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2014;volume=60;issue=2;spage=200;epage=201;aulast=Rodriguez-Osorio;type=0


 
Thursday, April 2, 2020
 Site Map | Home | Contact Us | Feedback | Copyright  and disclaimer