Fungal peritonitis caused by Curvularia species in a child undergoing peritoneal dialysis.
We report the first case of peritonitis caused by Curvularia species in a child undergoing peritoneal dialysis. He presented with gray-black proteinaceous material obstructing the lumen of his Tenckhoff catheter. Although the peritoneal fluid was cloudy, the patient suffered neither significant abdominal tenderness nor systemic symptoms. Catheter removal and treatment with amphotericin B allowed complete recovery and return to peritoneal dialysis within 7 days. Outdoor play in a wooded environment may have allowed contact of this saprophytic fungus with the child's indwelling catheter transfer set.
Canon
H L
HL
Le Bonheur Children's Medical Center, University of Tennessee, Memphis, Department of Pediatrics, Crippled Children's Research Center, Memphis, Tennessee, USA.
Buckingham
S C
SC
Wyatt
R J
RJ
Jones
D P
DP
D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002408:Catheters, Indwelling / Q000382:microbiology; D002648:Child; D020878:Device Removal; D004866:Equipment Contamination; D005260:Female; D006801:Humans; D003904:Mitosporic Fungi; D009181:Mycoses / Q000188:drug therapy; D010530:Peritoneal Dialysis / Q000009:adverse effects* / Q000295:instrumentation; D010538:Peritonitis / Q000382:microbiology*
D000935:Antifungal Agents; D000666:Amphotericin B