Hong Kong Journal of Nephrology
Volume 7, Issue 2 , Pages 90-92, October 2005

Adult Nephrotic Syndrome with Spontaneous Bacterial Peritonitis

  • Ramazan Danis

      Affiliations

    • Department of Nephrology, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey
  • ,
  • Sehmus Ozmen

      Affiliations

    • Internal Medicine, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey
    • Department of Nephrology, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr. Sehmus Ozmen, Department of Internal Medicine, Faculty of Medicine, University of Dicle, 21280 Diyarbakir, Turkey. Fax: (+90) 412 84 40
  • ,
  • Serif Yilmaz

      Affiliations

    • Gastroenterology, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey
    • Department of Nephrology, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey
  • ,
  • Orhan Yazanel

      Affiliations

    • Department of Nephrology, Faculty of Medicine, University of Dicle, Diyarbakir, Turkey

Article Outline

The association of spontaneous bacterial peritonitis with nephrotic syndrome is common in children, but it is extremely rare in adults. Only 14 cases have been reported in the literature. We report two adult cases who developed spontaneous bacterial peritonitis during a course of nephrotic syndrome, and describe the clinical and laboratory findings. Both patients had renal failure at admission and had a diagnosis of nephrotic syndrome due to amyloidosis before the development of peritonitis. The causative agent could not be isolated from ascitic fluid culture in either patient.

Key words:  adult , nephrotic syndrome , peritonitis

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Chuang TF , Kao SC , Tsai CJ , Lee CC , Chen KS . Spontaneous bacterial peritonitis as the presenting feature in an adult with nephrotic syndrome . Nephrol Dial Transplant . 1999;14:181–182
  2. Chen MC , Lam KK , Hsu KT . Spontaneous bacterial peritonitis in adult patients with primary nephrotic syndrome . Changgeng Yi Xue Za Zhi . 1999;22:227–233
  3. Rusthoven J , Kabins SA . Hemophilus influenzae f cellulitis with bacteremia, peritonitis, and pleuritis in an adult with nephrotic syndrome . South Med J . 1978;71:1433–1435
  4. Kato A , Ohtake T , Furuya R , et al.   Spontaneous bacterial peritonitis in an adult patient with nephrotic syndrome . Intern Med . 1993;32:719–721
  5. Cameron JH . Complications of nephrotic syndrome. . In:  Glassock RJ editors. The Nephrotic Syndrome. . xiv: New York: Dekker; 1988;p. 1078
  6. Moorani KN , Khan KM , Ramzan A . Infections in children with nephrotic syndrome . J Coll Physicians Surg Pak . 2003;13:337–339
  7. Minimal change nephrotic syndrome in children  . deaths during the first 5 to 15 years' observation. Report of the International Study of Kidney Disease in Children . Pediatrics . 1984;73:497–501
  8. Ackerman Z . Ascites in nephrotic syndrome. Incidence, patients' characteristics, and complications . J Clin Gastroenterol . 1996;22:31–34
  9. Ogi M , Yokoyama H , Tomosugi N , et al.   Risk factors for infection and immunoglobulin replacement therapy in adult nephrotic syndrome . Am J Kidney Dis . 1994;24:427–436

PII: S1561-5413(09)60220-9

doi:10.1016/S1561-5413(09)60220-9

Hong Kong Journal of Nephrology
Volume 7, Issue 2 , Pages 90-92, October 2005