Peritoneal dialysis catheter infection with abscess of the abdominal wall in a ADPKD patient
Polese, L.; Borrelli, S.; Conte, G.; De Nicola, L.; Minutolo, R.; Vita, C.; Peruzzu, N.; Netti, A.; De Stefano, T.; Provenzano, M.; Garofalo, C.
Giornale Italiano di Nefrologia: Organo Ufficiale Della Societa Italiana di Nefrologia 36(4)
2019
ISSN/ISBN: 1724-5990 PMID: 31373467 Document Number: 699992
Infections to the peritoneal catheter are common in Peritoneal Dialysis (PD). We report the clinical case of a 49-year-old male patient in PD, who showed an atypical manifestation of tunnel infection caused by Staphylococcus aureus. The infection was characterized by a little abscess, on the left pararectal abdominal line, 6 cm far from exit-site of the peritoneal catheter. The diagnosis was made using ultrasonography (US), which showed a fistulous communication from subcutaneous cuff to the skin. We treated the infection conservatively by performing cuff-shaving and drainage of the abscess, associated to antibiotic therapy (teicoplanin). Due to the persistence of the infection, we added oral and topical rifampicin, and advanced medication with freez-dried collagen plant impregnated with extended-release gentamicin. The complete resolution of the infection allowed us to avoid removing the catheter.