Noninfectious Causes of Cloudy Peritoneal Dialysate
ABSTRACT The appearance of cloudy dialysate fluid in combination with the clinical manifestations of peritonitis usually heralds infectious peritonitis. Diagnosis is readily established in most cases by routine culture of the turbid dialysate. However, an occasional patient presents with culture‐neg...
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Published in | Seminars in dialysis Vol. 14; no. 1; pp. 37 - 40 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Boston, MA, USA
Blackwell Science Inc
01.02.2001
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Abstract | ABSTRACT
The appearance of cloudy dialysate fluid in combination with the clinical manifestations of peritonitis usually heralds infectious peritonitis. Diagnosis is readily established in most cases by routine culture of the turbid dialysate. However, an occasional patient presents with culture‐negative, cloudy dialysate. After ruling out atypical infectious etiologies, a diverse set of aseptic causes remains in the differential diagnosis. Herein we review these causes and suggest an organizational scheme, based on identifying the cellular or noncellular constituent producing the dialysate turbidity, to facilitate appropriate diagnostic and therapeutic interventions. |
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AbstractList | ABSTRACT
The appearance of cloudy dialysate fluid in combination with the clinical manifestations of peritonitis usually heralds infectious peritonitis. Diagnosis is readily established in most cases by routine culture of the turbid dialysate. However, an occasional patient presents with culture‐negative, cloudy dialysate. After ruling out atypical infectious etiologies, a diverse set of aseptic causes remains in the differential diagnosis. Herein we review these causes and suggest an organizational scheme, based on identifying the cellular or noncellular constituent producing the dialysate turbidity, to facilitate appropriate diagnostic and therapeutic interventions. The appearance of cloudy dialysate fluid in combination with the clinical manifestations of peritonitis usually heralds infectious peritonitis. Diagnosis is readily established in most cases by routine culture of the turbid dialysate. However, an occasional patient presents with culture-negative, cloudy dialysate. After ruling out atypical infectious etiologies, a diverse set of aseptic causes remains in the differential diagnosis. Herein we review these causes and suggest an organizational scheme, based on identifying the cellular or noncellular constituent producing the dialysate turbidity, to facilitate appropriate diagnostic and therapeutic interventions. |
Author | Teitelbaum, Isaac Rocklin, Michael A. |
Author_xml | – sequence: 1 givenname: Michael A. surname: Rocklin fullname: Rocklin, Michael A. organization: Division of Renal Disease and Hypertension, Department of Internal Medicine, University of Colorado Health Sciences Center, Denver, Colorado – sequence: 2 givenname: Isaac surname: Teitelbaum fullname: Teitelbaum, Isaac organization: Division of Renal Disease and Hypertension, Department of Internal Medicine, University of Colorado Health Sciences Center, Denver, Colorado |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/11208038$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1093/ajcp/47.5.638 10.1159/000186395 10.1016/S0272-6386(12)70289-5 10.1046/j.1523-1755.1998.00110.x 10.1177/089686089901900116 10.7326/0003-4819-51-2-301 10.1001/archinte.1941.00200040002001 10.1136/bmj.1.2770.238 10.7326/0003-4819-107-2-341 10.1016/S0272-6386(12)80585-3 10.1177/039139889101400206 10.1093/ndt/6.9.659 10.1159/000167445 10.1177/089686089301300416 10.1007/978-94-009-1085-0_14 10.1159/000182458 10.1016/S0272-6386(12)80255-1 10.1177/089686088700700308 10.1159/000187252 10.1177/089686089001000209 10.1177/089686089201200113 10.3109/08860228209049850 10.1016/S0016-5085(55)80014-5 10.1093/ndt/15.9.1455 10.1056/NEJM197706092962309 10.1159/000166796 |
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The appearance of cloudy dialysate fluid in combination with the clinical manifestations of peritonitis usually heralds infectious peritonitis.... The appearance of cloudy dialysate fluid in combination with the clinical manifestations of peritonitis usually heralds infectious peritonitis. Diagnosis is... |
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SubjectTerms | Dialysis Solutions - adverse effects Dialysis Solutions - chemistry Humans Peritoneal Dialysis - adverse effects Peritoneal Dialysis - methods Peritoneal Dialysis, Continuous Ambulatory - methods Peritonitis - diagnosis Peritonitis - etiology Primary Prevention - methods Prognosis Risk Assessment Risk Factors |
Title | Noninfectious Causes of Cloudy Peritoneal Dialysate |
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