We report the case of a 71-year-old man with a history of hypertension, type 2 diabetes mellitus, Von tapering disorder with multiple admissions for gastrointestinal bleeding and secondary chronic kidney disease glomerulonephritis in a 2011 PD program.
There were five episodes of peritonitis, the last was in December 2015 receiving treatment with intraperitoneal vancomycin, with good evolution of peritonitis.
On the last day of treatment, the patient consulted for jaundice and general malaise with transaminase elevation and bilirubin.
After drug withdrawal there was clinical improvement and normalization of the analytical.
In March 2016, she had a new episode of peritonitis, empirical treatment with teicoplanin and tobramycin.
Three days after treatment she consulted due to generalized malaise, vomiting, diarrhea, fever and jaundice.
