The International Diabetes Federation (IDF) estimated that 425 million people were living with diabetes mellitus (DM) in 2017 (1), which had far exceeded what was originally predicted in 2003 (333 million people by 2025). Consequently, the IDF provided a new projection of a near doubling of 629 million people with DM in 2045, with 4 out of 5 people with DM living in low-and middle-income countries (LMICs), majority from South East Asia (82 million) and the Western Pacific (159 million) regions. The increasing prevalence of DM has contributed to the growing burden of ESKD, and it is estimated that DKD is responsible for about 50% of ESKD in the developed world (2). The global burden of DKD and ESKD has a major impact on healthcare costs and resources; making screening, early detection and preventive treatment important strategies to mitigate this worldwide pandemic.

In the 2018 iteration of the United States Renal Data System (USRDS) report, 6 out of the top 10 countries in the world with diabetic kidney disease (DKD) as the cause of end-stage kidney disease (ESKD) were from the Asia-Pacific region, with Malaysia and Singapore topping the charts consistently over the previous years (1). It is, therefore, unsurprising that DKD is a significant healthcare burden for the Asia-Pacific countries, with a considerable amount of the countries' medical expenditure being spent on kidney replacement therapy (KRT) (2). Specifically, the differences in healthcare infrastructure, resources and cultural beliefs among the Asia-Pacific countries have resulted in the heterogeneity of care and outcomes This article was originally published in Nephrology Vol. 25 Issue S2. Republished with permission.

Sphingomonas paucimobilis is an aerobic gram-negative bacillus, widely distributed in the water and soil. It has also been found in nosocomial environments causing nosocomial infections. S. paucimobilis is a rare cause of peritoneal dialysis (PD)-related peritonitis. Here, we report the 14 th case, with a literature review. Our case is unique as this is the first reported case of intra-abdominal abscess associated with S. paucimobilis PD-related peritonitis.

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