Purulent Peritonitis Masked by Disease-Modifying Therapy: A Case Report

Authors

  • Brock P Shipp Department of Osteopathic Medicine, Alabama College of Osteopathic Medicine, Dothan, USA
  • Stephanie Gonzalez Department of Osteopathic Medicine, Alabama College of Osteopathic Medicine, Dothan, USA
  • Lindsay Chapman Department of Osteopathic Medicine, Alabama College of Osteopathic Medicine, Dothan, USA
  • Ricardo Mohammad Department of Osteopathic Medicine, Santa Rosa Medical Center, Florida, USA

Keywords:

  • Multiple sclerosis,
  • Purulent peritonitis,
  • Disease-modifying therapy,
  • Dimethyl fumarate,
  • Lymphocytopenia

Abstract

We report the case of a 70-year-old woman with relapsing-remitting multiple sclerosis on dimethyl fumarate therapy who presented with acute abdominal pain. Despite severe infection, her initial laboratory tests were misleading due to treatment-related lymphocytopenia. Imaging and surgical exploration revealed purulent peritonitis with a pelvic abscess. This case emphasizes the importance of early imaging and prompt intervention in immunocompromised patients with atypical abdominal presentations.

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Laparoscopic images reveal widespread erythema on the peritoneal surface.

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Published

2025-09-12

Issue

Vol. 2 No. 4 (2025)

Section

Articles

DOI:

https://doi.org/10.64142/jsmcr.2.4.44

Dimensions

How to Cite

Purulent Peritonitis Masked by Disease-Modifying Therapy: A Case Report. (2025). Journal of Surgery and Medical Case Reports, 2(4), 1-5. https://doi.org/10.64142/jsmcr.2.4.44