In the June 2004 issue of your journal, Scotter described a case of aspergillus peritonitis in a patient undergoing renal dialysis diagnosed by the polymerase chain reaction and galactomannan detection. We had a similar case of aspergillus peritonitis detected by (repeated) culture of peritoneal fluid and a positive serum galactomannan detection test. An 82 year old man under continuous ambulat...

BACKGROUND Several factors influence the outcomes in acute kidney injury (AKI), especially in intensive care unit (ICU) patients. In this scenario, continuous renal replacement therapies (CRRT) are used to control metabolic derangements and blood volume. Knowing this fact, it may be possible to change the course of the disease and decrease the high mortality rate observed. Thus, we aimed to eva...

Peritonitis is an inflammation of the peritoneum that occurs in patients with end-stage renal disease (ESRD) treated by peritoneal dialysis. Fungal peritonitis is a dreaded complication of peritoneal dialysis. Curvularia lunata is known to cause extra renal disease like endocarditis, secondary allergic bronchopulmonary aspergillosis and endophthalmitis. This case report presents a case of conti...

The term "extracorporeal therapy" means a medical treatment utilising an extracorporeal circuit. Blood, plasma or another body fluid is passed through the extracorporeal purification device, where the toxic substances are separated and the purified fluid returns to the body. A range of extracorporeal therapies are available at present, based on physical (dialysis or filtration) or physicochemic...

Peritoneal dialysis is a form of kidney dialysis that is used to remove accumulated metabolic waste products and water in patients with end stage kidney disease. Long-term exposure to high concentrations of glucose and its by-products, both found in peritoneal dialysis fluid, has been implicated in contributing to peritoneal damage over time, in turn limiting long-term use of the technique. New...

A 41-year-old man with end-stage renal disease due to diabetes nephropathy received continuous ambulatory peritoneal dialysis for about one year. He developed genital swelling and decreased dialysate fluid drainage over one week. Transallumination of the scrotum demonstrated fluid collection (Picture 1). Computed tomography peritoneography showed contrast media in the right spermatic cord (Pict...

This approach was also first described in 1978 by Henderson [16 ]. In this pilot investigation, the reinfu-sion fluid was prepared off-line by dialysis fluid filtration through hollow fibre ultrafilters made of XP-50 membrane and collected in sterile glass carboys before

Investigating peritoneal membrane alterations caused by peritoneal dialysis fluid during peritoneal dialysis in humans is still intriguing. That is why the study was aimed to provide rabbit peritoneal tissue samples suitable for histological analyses using a modified nonuremic infusion model of peritoneal dialysis on rabbit. A double-lumen central venous catheter, surgically placed in the perit...

BACKGROUND/AIMS Intradialytic hypertension (IH) occurs frequently in some hemodialysis patients and increases mortality risk. We simultaneously compared pre-dialysis, post-dialysis and changes in extracellular volume and hemodynamics in recurrent IH patients and controls. METHODS We performed a case-control study among prevalent hemodialysis patients with recurrent IH and hypertensive hemodia...

Haemodialysis patients are at risk of poisoning by contaminants in dialysis fluid [1]; they are exposed to large volumes of water every time they dialyse, dialysis membranes offer a less effective barrier than the gastrointestinal tract and their renal failure renders them less able to eliminate toxins. Aluminium remains the classic example of such toxicity. Renal patients are also at risk of e...