Locally improvised acute peritoneal dialysis using nasogastric tube and fluids in a resource-limited setting in southern Nigeria – A case report. Improvised peritoneal dialysis in southern Nigeria
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Abstract
Acute gastroenteritis remains a major reason for
consults to the emergency room and can be
complicated with electrolyte derangements, sepsis and
acute kidney injury. We present a 24-month-old boy
who had acute gastroenteritis with sepsis and who
developed oliguric acute kidney injury. He had
improvised acute peritoneal dialysis (PD) done using
a nasogastric feeding tube and peritoneal dialysis
fluids (Ringers Lactate and Dextrose intravenous
fluids). He had 18 sessions of PD for 4 days with
complete recovery of renal functions and discharged
after 11 days. Children with gastroenteritis and sepsis
that develop acute kidney injury should be offered
improvised PD in resource-limited settings, as
illustrated in this case report.