HOME    mypage    Japanese    library    university    Feedback

沖縄地域学リポジトリ >
Ryukyu Medical Association >
Ryukyu Medical Journal >

Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/3344

 
Title :[症例報告]試験開腹により診断がついた結核性腹膜炎を生じたCAPD患者の一例
Title alternative :A case of tuberculous peritonitis diagnosed by preparatory laparotomy complicating continuous ambulatory peritoneal dialysis (CAPD)
Authors :吉武, 秀範
仲地, 研吾
渡久山, 博也
吉, 晋一郎
儀間, 朝次
吉原, 邦男
渡嘉敷, 秀夫
岩政, 輝男
宮城, 信雄
Authors alternative :Yoshitake, Hidenori
Nakachi, Kengo
Tokuyama, Hiroya
Yoshi, Shinichiro
Gima, Tomoji
Yoshihara, Kunio
Tokashiki, Hideo
Iwamasa, Teruo
Miyagi, Shinyu
Authors affiliation :沖縄第一病院内科
沖縄第一病院泌尿器科
沖縄第一病院外科
豆の木クリニック
北部地区医師会病院外科
琉球大学医学部病理学第二講座
Issue Date :1998
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346888X
0289-1530
Abstract :We report a case of tuberculous peritonitis diagnosed by preparatory laparotomy in a patient with end-stage renal failure complicating continuous ambulatory peritoneal dialysis (CAPD). A-73-year old man was admitted to our hospital because of peritonitis. Therapy with antibiotics for three weeks resulted in a almost complete resolution. However, he complained of cough and chill with ascites on day 74. A conventional treatment with antibiotics was not effective for these symptoms. A diagnosis of tuberculous peritonitis was finally made by pleural biopsy. Immediately, anti-tuberculosis therapy consisting of isoniazid (300 mg/day), rifampicin (450mg/day), streptomycin sulfate (500mg/ 3 day) and ethambutol hydrochloride (500mg/day) was started. His clinical symptoms improved but he died due to the complication of multiple organ failure on day 193 0f the hospital. In CAPD patients with fever of unknown origin and ascites, tuberculous peritonitis should be considered as a potential cause.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/3344
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.18 no.1-2 p.49 -52
Appears in Collections:Ryukyu Medical Journal

Files in This Item:

File Description SizeFormat
v18p49.pdf2017KbAdobe PDFView/Open