At the Tambacounda Regional Hospital, located approximately 480 km from Dakar, we recently performed acute peritoneal dialysis on an 8-year-old girl with severe malaria complicated by acute kidney injury.
On admission, the patient had a Glasgow Coma Scale score of 9/15, a blood urea level of 3.4 g/L, and a serum creatinine level of 84 mg/L, warranting the initiation of peritoneal dialysis.
The treatment was performed using pediatric dialysis bags, with an infusion volume of 15 mL/kg. A total of 14 exchanges were completed: 6 with a one-hour dwell time, followed by 8 with a two-hour dwell time.
By the second day, the patient had regained satisfactory urine output. Laboratory results showed a marked improvement in kidney function, with blood urea decreasing to 1.4 g/L and serum creatinine to 20 mg/L.
Peritoneal dialysis was discontinued on the third day. Subsequent laboratory tests confirmed a return to normal kidney function, with a serum creatinine level of 6 mg/L and a blood urea level of 0.45 g/L.
Clinically, the patient’s condition also improved significantly: she regained normal consciousness, and her physical examination was unremarkable.
Dr. Yandédjiby Faye, adult nephrologist, former IPNA Fellow, and graduate of the French University Diploma (DIU) in Pediatric Nephrology. She will participate in the ISPD Saving Young Lives Workshop in Sept 2026.
Future participant of the ISPD SYL workshop, Sept 2026
