1. Long-Term Peritoneal Dialysis May Result in Vascular Changes Within the Peritoneal Cavity, Leading to Reduced Efficacy of Intravenous Antibiotics in Treatment of Bacterial Peritonitis 
Hassan Bin Attique, MD, Snehal Naik, MD, Attiya Haroon, MD, PhD, Ruchir D. Trivedi, MD, MSc 
The American Journal of Medicine 
Volume 130, Issue 10, Pages e449-e450 (October 2017)
DOI: /j.amjmed
Copyright © 2017 Elsevier Inc. Terms and Conditions

2. Figure 1
Computed tomography of the abdomen with contrast shows remarkable parietal peritoneal thickness (red arrow). Also noted is bilateral renal enlargement with innumerable renal cysts (yellow arrow), confirming diagnosis of Autosomal Dominant Polycystic Kidney Disease. There is a small amount of ascites and organization of loculated fluid collection (orange arrow) in the right upper quadrant. Small bowel dilatation (blue arrow) represents ileus.
The American Journal of Medicine  , e449-e450DOI: ( /j.amjmed )
Copyright © 2017 Elsevier Inc. Terms and Conditions

3. Figure 2
The Figure shows a robust response to intraperitoneal (IP) antibiotics. Please note the downtrend of peritoneal dialysis (PD) fluid white blood cell (WBC) count within 10 days of IP antibiotic therapy. The patient sustained this response for a full 3 weeks at completion of antibiotics. The last observation suggests normal count after completion of antibiotic therapy.
The American Journal of Medicine  , e449-e450DOI: ( /j.amjmed )
Copyright © 2017 Elsevier Inc. Terms and Conditions