Aspergillus peritonitis in continuous ambulatory peritoneal dialysis patients.
Aspergillus peritonitis is a rare and serious cause of peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients. We report 3 cases of aspergillus peritonitis in CAPD which were successfully treated by catheter removal and amphotericin. Two of the 3 patients returned temporarily to CAPD, but were subsequently transferred to hemodialysis because of membrane failure. A novel finding in 2 of the 3 cases was a positive Limulus amebocyte lysate test, despite negative bacterial cultures. We discuss the possible relevance of this finding to the diagnosis of aspergillus infections and emphasize the importance of early catheter removal for successful treatment of this condition.
Basok
A
A
Department of Nephrology, Soroka Hospital and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beersheva, Israel.
Schneider
E
E
Hausmann
M
M
Rapoport
J
J
D000368:Aged; D001228:Aspergillosis; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008033:Limulus Test; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000209:etiology* / Q000382:microbiology*; D006435:Renal Dialysis; D019233:Retreatment