Posthysteroscopy fungal peritonitis in a patient on continuous ambulatory peritoneal dialysis.
We report the first case of posthysteroscopy fungal peritonitis, which developed in a woman 11 days after she had a hysteroscopy for menorrhagia. A high vaginal swab grew Candida albicans and the same organism was cultured from the peritoneal dialysate effluent. A vaginoperitoneal communication was suspected to allow the distension medium to carry the fungus into the peritoneum. The potential use of a prophylactic local antifungal agent before hysteroscopy is discussed.
Li
P K
PK
Department of Medicine, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin.
Leung
C B
CB
Leung
A K
AK
Luk
W K
WK
Lai
K N
KN
D000328:Adult; D002177:Candidiasis / Q000382:microbiology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000382:microbiology*