Cryptococcal peritonitis in a CAPD patient.
A 50-year-old diabetic woman with end-stage renal disease, who had been on continuous ambulatory peritoneal dialysis for 8 months, developed peritonitis caused by Cryptococcus neoformans var. neoformans. The patient was completely asymptomatic and infection was confirmed by detection of budding yeast cells in Gram-stained smears of turbid peritoneal fluid. The infection was cleared after intravenous fluconazole with delayed removal of the catheter. Fluconazole may be a suitable alternative drug in treating cryptococcal peritonitis.
Morris
B
B
Pathology Laboratory, Gisborne Hospital, New Zealand.
Chan
Y F
YF
Reddy
J
J
Woodgyer
A
A
D003453:Cryptococcosis / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*
D015725:Fluconazole; D007654:Ketoconazole