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Perit Dial Int 3(1): 32-33 1983
© 1983 International Society for Peritoneal Dialysis
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REVIEWS AND ORIGINAL ARTICLES

RECURRENT POLYMICROBIAL PERITONITIS FROM A GYNECOLOGIC SOURCE AS A COMPLICATION OF CAPO

Richard D. Swartz, Darrell A. Campbell, Debra Stone and Cynthia Dickinson

Department of Internal Medicine, Division of Nephrology and Department of Surgery, University of Michigan Medical Center Ann Arbor, Michigan

A 22-year-old woman on CAPD developed recurrent peritonitis with organisms suggestive of a gynecologic source. A concomitant vagi nalleaking of dialysate confirmed an abnormal communication between peritoneum and vagina. The recurrent infection led to fungal overgrowth, abcess formation and catheter loss. The appearance of peritoneal infection with normal vaginal organisms should prompt a search for a gynecologic source of contamination such as that demonstrated in this case.






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