Aspergillus peritonitis in a continuous ambulatory peritoneal dialysis patient. Case report and review of the literature.
Aspergillus peritonitis is a rare but treatable complication of continuous ambulatory peritoneal dialysis. We report a case of Aspergillus peritonitis in a continuous ambulatory peritoneal dialysis patient and review the nine other cases reported in the literature. The course was often insidious, and the clinical manifestation and laboratory findings were similar to those of bacterial peritonitis. The distinctive feature of these cases was the persistence of symptoms despite broad-spectrum antibiotics. Catheter removal is of crucial importance in the management of this disease.
Nguyen
M H
MH
Department of Medicine, University of Pittsburgh School of Medicine, Pennsylvania.
Muder
R R
RR
D000368:Aged; D000666:Amphotericin B / Q000008:administration & dosage / Q000627:therapeutic use; D001228:Aspergillosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D017809:Fatal Outcome; D006801:Humans; D007274:Injections, Intraperitoneal; D017964:Itraconazole / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*
D017964:Itraconazole; D000666:Amphotericin B