1/24. peritonitis by scedosporium apiospermum in a patient undergoing continuous ambulatory peritoneal dialysis.A case of peritonitis due to scedosporium apiospermum in a boy undergoing continuous ambulatory peritoneal dialysis is reported. The finding of suggestive tissual form of the fungus in the effluent hastened the diagnosis of the infection.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
2/24. paecilomyces variotii peritonitis in an infant on automated peritoneal dialysis.Fungal peritonitis is a serious complication of chronic peritoneal dialysis (CPD) and is frequently associated with CPD drop-out. paecilomyces variotii, a common saprophytic fungus, rarely causes human infection. To date, only nine adult or adolescent patients with P. variotii peritonitis during continuous ambulatory peritoneal dialysis have been reported. In all patients, successful treatment required antifungal therapy and removal of the peritoneal catheter. We report the first case of P. variotii peritonitis in an infant on automated peritoneal dialysis successfully treated with combined intraperitoneal and oral fluconazole, without removal of the peritoneal catheter.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
3/24. Spontaneous fungal peritonitis in patients with hepatitis b virus-related liver disease.Spontaneous bacterial peritoneal infections is recognized as a very common complication of cirrhotic ascites, but isolation of fungus in pure culture from ascitic fluid is relatively rare, even more so in the human immunodeficiency virus (hiv)-negative or nonimmunocompromised hosts. We describe two patients of spontaneous fungal peritonitis where the isolate was cryptococcus neoformans. Both cases suffered from hepatitis b virus (HBV) infection. The clinical and laboratory profiles of both patients were similar to those of conventional spontaneous bacterial peritonitis. We suggest that it would be prudent to heighten clinical suspicion for fungal peritonitis in such cases.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
4/24. Fungal peritonitis caused by Curvularia species in a child undergoing peritoneal dialysis.We report the first case of peritonitis caused by Curvularia species in a child undergoing peritoneal dialysis. He presented with gray-black proteinaceous material obstructing the lumen of his Tenckhoff catheter. Although the peritoneal fluid was cloudy, the patient suffered neither significant abdominal tenderness nor systemic symptoms. Catheter removal and treatment with amphotericin b allowed complete recovery and return to peritoneal dialysis within 7 days. Outdoor play in a wooded environment may have allowed contact of this saprophytic fungus with the child's indwelling catheter transfer set.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
5/24. Fatal peritonitis due to trichoderma sp. in a patient undergoing continuous ambulatory peritoneal dialysis.We describe a rare case of peritonitis caused by an unusual fungus, trichoderma sp., in a patient on continuous ambulatory peritoneal dialysis. Management of the patient consisted of Tenckhoff catheter removal and antifungal chemotherapy, but the patient died.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
6/24. paecilomyces peritonitis: case report and review of the literature.While filamentous fungi are a rare cause of peritonitis in peritoneal dialysis patients, there is increasing recognition of paecilomyces species as pathogens in such patients. We herein report a case of fungal peritonitis secondary to the filamentous paecilomyces variotii species. The patient had a long and ultimately fatal course of illness despite catheter removal, discontinuation of peritoneal dialysis, recurrent intraabdominal abscess drainage, and prolonged courses of antifungal therapy. Our experience with this case and a review of the literature suggests that infection with this fungus can cause substantial morbidity and is probably best treated with prompt catheter removal, aggressive antifungal therapy and vigilant observation for complications.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
7/24. early diagnosis of exophiala CAPD peritonitis by 18S ribosomal rna gene sequencing and its clinical significance.Phenotypic identification of fungi in clinical microbiology laboratories is often difficult and late, especially for slow growing and rarely encountered fungi. We describe the application of 18S ribosomal rna (rRNA) gene sequencing in the early diagnosis of a case of exophiala peritonitis. A yeast-like fungus was isolated from the dialysate fluid of a 66-year-old man undergoing continuous ambulatory peritoneal dialysis. It grew slowly after 12 days of incubation to yield mature cultures to permit recognition of microscopic features resembling those of exophiala, a dematiacerous mold. 18S rRNA gene sequencing provided results 12 days earlier than phenotypic identification and revealed 15 base difference (0.9%) between the isolate and exophiala sp. strain GHP 1205 (GenBank Accession no. AJ232954), indicating that the isolate most closely resembles a strain of exophiala species. The patient responded to 4 weeks of intravenous amphotericin b therapy. Early identification of the fungus was important for the choice of anti-fungal regimen. As opportunistic fungal infections in immunocompromised patients are globally emerging problems, the development of molecular techniques for fungal identification is crucial for early diagnosis and appropriate treatment.- - - - - - - - - - ranking = 2keywords = fungus (Clic here for more details about this article) |
8/24. Eosinophilic peritonitis in a patient with continuous ambulatory peritoneal dialysis (CAPD).Eosinophilic peritonitis is defined as when there are more than 100 eosinophils present per milliliter of peritoneal effluent, of which eosinophils constitute more than 10% of its total WBC count. Most cases occur within the first 4 weeks of peritoneal catheter insertion and they usually have a benign and self-limited course. We report a patient of eosinophilic peritonitis that was successfully resolved without special treatment. An 84-year-old man with end stage renal disease secondary to diabetic nephropathy was admitted for dyspnea and poor oral intake. Allergic history was negative. and physical examination was unremarkable. Complete blood count showed a hemoglobin level of 11.1 g/dL, WBC count was 24,500/mm3 (neutrophil, 93%; lymphocyte, 5%; monocyte, 2%), platelet count was 216,000/mm3, serum BUN was 143 mg/dL, Cr was 5.7 mg/dL and albumin was 3.5 g/dL. creatinine clearance was 5.4 mL/min. Three weeks after peritoneal catheter insertion, he was started on peritoneal dialysis with a 6-hour exchange of 2L 1.5% peritoneal dialysate. After nine days, he developed turbid peritoneal effluents with fever (38.4 degrees C), abdominal pain and tenderness. Dialysate WBC count was 180/mm3 (neutrophil, 20%; lymphocyte, 4%; eosinophil, 76% [eosinophil count: 136/mm3]). Cultures of peritoneal fluid showed no growth of aerobic or anaerobic bacteria, or of fungus. Continuous ambulatory peritoneal dialysis (CAPD) was commenced, and he was started on intraperitoneal ceftazidime (1.0 g/day) and cefazolin (1.0 g/day). After two weeksr, the dialysate had cleared up and clinical symptoms were improved. Dialysate WBC count decreased to 8/mm3 and eosinophils were not detected in peritoneal fluid. There was no recurrence of eosinophilic peritonitis on follow-up evaluation, but he died of sepsis and pneumonia fifteen weeks after admission.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
9/24. Peritoneal eosinophilia associated with paecilomyces variotii infection in continuous ambulatory peritoneal dialysis.A 65-year-old woman maintained on continuous ambulatory peritoneal dialysis (CAPD) presented with a 5-month history of intermittent cloudy bags and sterile peritoneal and peripheral blood eosinophilia, which failed to clear despite conventional antibiotics. Impaired catheter inflow and delayed effluent drainage gradually occurred and intracatheter streptokinase, administered to rectify catheter dysfunction, dislodged a catheter cast composed of fungal hyphae of paecilomyces variotii. Fungal peritonitis and paecilomyces fungemia ensued, which were treated with amphotericin b and catheter removal. Peripheral eosinophilia rapidly resolved. paecilomyces is a saprophytic fungus found in soil and water that is capable of infecting prosthetic devices. eosinophils may have accumulated in this case in response to particulate fungal cell antigens being washed into the peritoneal cavity during dialysis. Chronic fungal catheter infection should be excluded in cases of late onset, persistant peritoneal eosinophilia on CAPD.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
10/24. Necrotizing bowel disease with candida peritonitis following severe neonatal hypothermia.peritonitis due to candida albicans is rare in the newborn infant. Three low birthweight, extremely ill premature infants who were severely hypothermic at the time of admission developed perforation of the gastrointestinal tract. C. albicans was cultured from the peritoneal fluid in each case. In view of the rareness of C. albicans peritonitis in newborns, this cluster of infants suggests a relationship between severe neonatal hypothermia, and bowel perforation with peritonitis due to this fungus.- - - - - - - - - - ranking = 1keywords = fungus (Clic here for more details about this article) |
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