The high morbidity of CAPD fungal peritonitis--description of 10 cases and review of treatment strategies.
Fungal infection is an uncommon cause of peritonitis in patients on continuous ambulatory peritoneal dialysis (CAPD). This report describes the clinical and microbiological features of 10 cases of fungal peritonitis. Although all patients survived, morbidity was high. Abscess and adhesion formation were particular problems. Only two patients were able to return to CAPD after microbiological cure. Currently available treatment strategies for fungal peritonitis are reviewed.
Tapson
J S
JS
Department of Nephrology, Freeman Hospital, Newcastle upon Tyne.
Mansy
H
H
Freeman
R
R
Wilkinson
R
R
D000328:Adult; D000368:Aged; D000666:Amphotericin B / Q000627:therapeutic use; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D005437:Flucytosine / Q000627:therapeutic use; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009181:Mycoses / Q000209:etiology* / Q000628:therapy; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010533:Peritoneal Lavage; D010538:Peritonitis / Q000209:etiology* / Q000628:therapy
D000666:Amphotericin B; D005437:Flucytosine