{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:04:13Z","timestamp":1788991453847,"version":"build-2803163510"},"reference-count":9,"publisher":"SMC Media","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Complications of peritoneal dialysis (PD) such as exit-site infections and PD peritonitis are common reasons for admission to General Internal Medicine wards. Culprit organisms range from typical skin flora to rarer complicated atypical organisms such as non-tuberculous mycobacteria. Encapsulating peritoneal sclerosis (EPS) is a rarer complication of PD characterized by peritoneal inflammation, ileus and fibrosis with high morbidity, few management options, and poor prognosis. Case Description: We report the case of a patient with a history of end-stage renal disease on peritoneal dialysis who presented with undifferentiated peritonitis and ileus refractory to standard antimicrobial therapy. Subsequent ascitic cultures were positive for Mycobacterium abscessus, and CT imaging was consistent with EPS. To date, EPS secondary to M. abscessus peritonitis has not previously been described. Discussion and Conclusion: This report describes the diagnostic process and treatment offered to this patient and his treatment outcomes over 8 months. It highlights the importance of prompt identification of patients at risk, timely eradication of high-risk pathogens, and transition to haemodialysis to limit morbidity and improve patient prognosis.<\/jats:p>","DOI":"10.12890\/2022_003173","type":"journal-article","created":{"date-parts":[[2022,3,7]],"date-time":"2022-03-07T03:53:37Z","timestamp":1646625217000},"source":"Crossref","is-referenced-by-count":2,"title":["Refractory Peritonitis and Small Bowel Ileus: A Case of Encapsulating Peritoneal Sclerosis Secondary to Mycobacterium abscessus Peritonitis"],"prefix":"10.12890","volume":"9","author":[{"given":"Soroush","family":"Rouhani","sequence":"additional","affiliation":[{"name":"Department of Medicine, London Health Sciences Centre, Schulich School of Medicine, University of Western Ontario, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikesh","family":"Adunuri","sequence":"additional","affiliation":[{"name":"Department of General Internal Medicine, Windsor Regional Hospital, Schulich School of Medicine, University of Western Ontario, London, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10397","published-online":{"date-parts":[[2022,3,7]]},"reference":[{"key":"10.12890\/2022_003173_ref1","doi-asserted-by":"crossref","unstructured":"<li>Washida N, Itoh H. The role of non-tuberculous mycobacteria in peritoneal dialysis-related infections: a literature review. <em>Contrib Nephrol<\/em> 2018;<strong>196<\/strong>:155\u201361.<\/li>","DOI":"10.1159\/000485716"},{"key":"10.12890\/2022_003173_ref2","doi-asserted-by":"crossref","unstructured":"<li>Brown AB, Bargman J, Biesen W, Chang M, Finkelstein F, Hurst H, et al. Length of time on peritoneal dialysis and encapsulating peritoneal sclerosis \u2014 position paper for ISPD: 2017 update. <em>Perit Dial Int<\/em> 2017;<strong>37<\/strong>(4):362.<\/li>","DOI":"10.3747\/pdi.2017.00018"},{"key":"10.12890\/2022_003173_ref3","doi-asserted-by":"crossref","unstructured":"<li>Kawaguchi Y, Kawanishi H, Mujais S, Topley N, Oreopoulos DG. Encapsulating peritoneal sclerosis: definition, etiology, diagnosis, and treatment. International Society for Peritoneal Dialysis Ad Hoc Committee on Ultrafiltration Management in Peritoneal Dialysis. <em>Peri Dial Int<\/em> 2000;<strong>20<\/strong>(Suppl 4):S43\u201355.<\/li>","DOI":"10.1177\/089686080002004S04"},{"key":"10.12890\/2022_003173_ref4","unstructured":"<li>Simbli MA, Niaz FA, Al-Wakeel JS. Encapsulating peritoneal sclerosis in a peritoneal dialysis patient presenting with complicated Mycobacterium fortuitum peritonitis. <em>Saudi J Kidney Dis Transpl<\/em> 2012;<strong>23<\/strong>(3):635\u201341.<\/li>"},{"key":"10.12890\/2022_003173_ref5","doi-asserted-by":"crossref","unstructured":"<li>Danford CJ, Lin SC, Smith MP, Wolf JL. Encapsulating peritoneal sclerosis. <em>World J Gastroenterol<\/em> 2018;<strong>24<\/strong>(28):3101\u201311. <\/li><\u00ec","DOI":"10.3748\/wjg.v24.i28.3101"},{"key":"10.12890\/2022_003173_ref6","doi-asserted-by":"crossref","unstructured":"<li>Song Y, Wu J, Yan H, Chen J. Peritoneal dialysis-associated nontuberculous mycobacterium peritonitis: a systematic review of reported cases. <em>Nephrol Dial Transplant<\/em> 2012;<strong>27<\/strong>:1639\u201344.<\/li>","DOI":"10.1093\/ndt\/gfr504"},{"key":"10.12890\/2022_003173_ref7","doi-asserted-by":"crossref","unstructured":"<li>Dobbie JW. Pathogenesis of peritoneal fibrosing syndromes (sclerosing peritonitis) in peritoneal dialysis. <em>Perit Dial Int<\/em> 1992;<strong>12<\/strong>(1):14.<\/li>","DOI":"10.1177\/089686089201200105"},{"key":"10.12890\/2022_003173_ref8","doi-asserted-by":"crossref","unstructured":"<li>Balasubramaniam G, Brown EA, Davenport A, Cairns H, Cooper B, Fan SLS, et al. Clinical course and management of encapsulating peritoneal sclerosis: a multicentre retrospective survey from the UK.<em> Nephrol Dial Transplant<\/em> 2009;<strong>24<\/strong>:3209\u201315.<\/li>","DOI":"10.1093\/ndt\/gfp008"},{"key":"10.12890\/2022_003173_ref9","doi-asserted-by":"crossref","unstructured":"<li>Johansen MD, Herrman J, Kremer L. Non-tuberculous mycobacteria and the rise of <em>Mycobacterium abscessus<\/em>. <em>Nat Rev Microbiol<\/em> 2020;<strong>18<\/strong>:392\u2013407.<\/li>","DOI":"10.1038\/s41579-020-0331-1"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3173\/3040","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3173\/3041","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3173\/3041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:35:33Z","timestamp":1755862533000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,7]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.12890\/2022_003173","relation":{"has-manifestation":[{"id-type":"other","id":"1-83-3173-g3040","asserted-by":"subject"},{"id-type":"other","id":"1-83-3173-g3041","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-83","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,7]]},"article-number":"11"}}