Path
Peritonitis in a patient on Continuous Ambulatory Peritoneal Dialysis (CAPD) is usually due to gram-positive pathogens such as Staphylococcus aureus or epidermidis.
Dx
It is usually characterized by abdominal pain and over 100 white blood cells (typically polymorphonuclear leukocytes) in a sample of peritoneal dialysis fluid.
Tx
IV vancomycin would be a reasonable treatment to cover gram-positive pathogens.
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The Compendium platform was created by David Kwinter, MD, CCFP(EM).
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.
Dr. Kwinter is a Cayman Family Doctor. He runs a Family Medicine Clinic at Cayman Medical in George Town, Grand Cayman, Cayman Islands.