{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T01:25:01Z","timestamp":1755998701047,"version":"3.40.5"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T00:00:00Z","timestamp":1613779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Seminars in Dialysis"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Peritoneal dialysis (PD)\u2010related peritonitis is sometimes complicated with other infections; however, few cases of splenic abscess have been reported. We present the case of a 64\u2010year\u2010old PD patient with complicated splenic abscesses diagnosed following relapsing sterile peritonitis. After PD induction, he presented with turbid peritoneal fluid and was diagnosed with PD\u2010related peritonitis. A plain abdominal computed tomography (CT) did not reveal any intra\u2010abdominal focus of infection. After empiric intravenous antibiotics, the peritoneal dialysate was initially cleared, with a decrease in dialysate white blood cells (WBC) to 20\/\u00b5L. However, WBC and C\u2010reactive protein (CRP) levels remained elevated. A contrast\u2010enhanced abdominal CT showed two areas of low\u2010density fluid with no enhancement in a mildly enlarged spleen, making it difficult to distinguish abscesses from cysts. Due to relapsing sterile peritonitis, we performed an abdominal ultrasonography, and suspected splenic abscesses due to rapid increase in size. Repeated imaging tests were useful in establishing a diagnosis of splenic abscesses. Considering the persistent elevation of WBC and CRP levels, imaging findings, and episodes of relapsing peritonitis, we comprehensively formed the diagnosis, and performed a splenectomy as a rescue therapy. We should consider the possibility of other infectious foci with persistent inflammation after resolving PD\u2010related peritonitis.<\/jats:p>","DOI":"10.1111\/sdi.12953","type":"journal-article","created":{"date-parts":[[2021,2,21]],"date-time":"2021-02-21T04:54:40Z","timestamp":1613883280000},"page":"245-251","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Splenic abscess diagnosed following relapsing sterile peritonitis in a peritoneal dialysis patient: A case report with literature review"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4649-9348","authenticated-orcid":false,"given":"Chiaki","family":"Masaki","sequence":"first","affiliation":[{"name":"Department of Laboratory Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Matsushita","sequence":"additional","affiliation":[{"name":"Department of Surgery Tokushima Prefectural Central Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoko","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Kidney Disease Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3918-4735","authenticated-orcid":false,"given":"Hisato","family":"Shima","sequence":"additional","affiliation":[{"name":"Department of Kidney Disease Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoya","family":"Chikakiyo","sequence":"additional","affiliation":[{"name":"Department of Surgery Tokushima Prefectural Central Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayumi","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Laboratory Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryozo","family":"Shirono","sequence":"additional","affiliation":[{"name":"Department of Radiology Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Tashiro","sequence":"additional","affiliation":[{"name":"Department of Kidney Disease Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Tada","sequence":"additional","affiliation":[{"name":"Department of Laboratory Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norimichi","family":"Takamatsu","sequence":"additional","affiliation":[{"name":"Department of Laboratory Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiichiro","family":"Wariishi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyoshi","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Kidney Disease Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Minakuchi","sequence":"additional","affiliation":[{"name":"Department of Kidney Disease Kawashima Hospital Tokushima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10157-011-0471-8"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000379743"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)70282-2"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686088900900115"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686089301300219"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(87)90285-6"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00030-5"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2017.00094"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0737-9"},{"key":"e_1_2_6_11_1","article-title":"Peritonitis with Listeria monocytogenes in a patient on automated peritoneal dialysis","volume":"2018","author":"Poulsen HB","year":"2018","journal-title":"BMJ Case Rep"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00205"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12614"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-017-0477-x"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13730-018-0328-z"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-018-0974-6"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1179547618765761"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13730-018-0346-x"},{"issue":"34","key":"e_1_2_6_19_1","first-page":"47","article-title":"Neisseria mucosa peritonitis in the setting of a migrated intrauterine device","volume":"2018","author":"Khan KN","year":"2018","journal-title":"Adv Perit Dial"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/3537283"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10157-018-1670-3"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.206466"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2020.05.009"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2020.07.012"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i3.460"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0899-7071(89)90146-0"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-012-0202-z"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/089686080502500207"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800670211"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semnuclmed.2017.11.004"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2009.04.009"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1607-551X(09)70499-1"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-198001000-00003"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2016.00078"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2015101110"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739-016-1599-z"}],"container-title":["Seminars in Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sdi.12953","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/sdi.12953","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sdi.12953","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T14:49:47Z","timestamp":1693579787000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sdi.12953"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,20]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1111\/sdi.12953"],"URL":"https:\/\/doi.org\/10.1111\/sdi.12953","archive":["Portico"],"relation":{},"ISSN":["0894-0959","1525-139X"],"issn-type":[{"type":"print","value":"0894-0959"},{"type":"electronic","value":"1525-139X"}],"subject":[],"published":{"date-parts":[[2021,2,20]]},"assertion":[{"value":"2021-02-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}