{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T17:10:19Z","timestamp":1740849019605,"version":"3.38.0"},"reference-count":3,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T00:00:00Z","timestamp":1587600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perit Dial Int"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p> Exit-site (ES) infection is a common complication in peritoneal dialysis (PD). Pseudomonas spp. is particularly difficult to treat, and catheter removal should be considered in persistent infections. The authors present a chronic ES infection resistant to directed antibiotic therapy in which catheter salvage was not possible. Removal was very difficult due to the presence of white sponge-like tissue with petrous consistency surrounding the catheter, all the way into the peritoneum. Histology revealed well-differentiated adenocarcinoma infiltrates. Abdominal computed tomography scan revealed a solid pancreatic (tail) lesion, nodular images on the greater epiploon, an adnexal lesion and a hepatic solid lesion, consistent with metastasis. The patient was referred for palliative care but maintained PD until untreatable pain and deterioration of general status aroused. Somewhere along the course of a chronic ES infection, the peritoneal catheter (and inflammation) was the metastatic path of an unknown pancreatic cancer, with neoplastic tissue reaching the skin. Catheter removal was crucial for diagnosis. <\/jats:p>","DOI":"10.1177\/0896860820920134","type":"journal-article","created":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T11:32:00Z","timestamp":1587641520000},"page":"513-514","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent exit-site infection in peritoneal dialysis \u2013 An unrecognized window to abdominal viscera"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6035-2740","authenticated-orcid":false,"given":"Ana Teresa","family":"Domingos","sequence":"first","affiliation":[{"name":"Servi\u00e7o de Nefrologia, Centro Hospitalar do Algarve, Faro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9627-908X","authenticated-orcid":false,"given":"Anabela","family":"Malho Guedes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Nefrologia, Centro Hospitalar do Algarve, Faro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0329-8805","authenticated-orcid":false,"given":"Filipa Brito","family":"Mendes","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Nefrologia, Centro Hospitalar do Algarve, Faro, Portugal"}]},{"given":"Joana","family":"Vidinha","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Nefrologia, Centro Hospitalar do Algarve, Faro, Portugal"}]},{"given":"Idalecio","family":"Bernardo","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Nefrologia, Centro Hospitalar do Algarve, Faro, Portugal"}]},{"given":"Pedro Le\u00e3o","family":"Neves","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Nefrologia, Centro Hospitalar do Algarve, Faro, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2020,4,23]]},"reference":[{"key":"bibr1-0896860820920134","doi-asserted-by":"publisher","DOI":"10.1177\/089686080502500611"},{"key":"bibr2-0896860820920134","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(12)80608-1"},{"key":"bibr3-0896860820920134","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-007-1209-6"}],"container-title":["Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0896860820920134","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0896860820920134","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0896860820920134","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T16:06:57Z","timestamp":1740845217000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0896860820920134"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,23]]},"references-count":3,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1177\/0896860820920134"],"URL":"https:\/\/doi.org\/10.1177\/0896860820920134","relation":{},"ISSN":["0896-8608","1718-4304"],"issn-type":[{"type":"print","value":"0896-8608"},{"type":"electronic","value":"1718-4304"}],"subject":[],"published":{"date-parts":[[2020,4,23]]}}}