Containers for waste causing peritonitis in CAPD patients.
Fungal infection is a rare cause of peritonitis in patients on chronic peritoneal dialysis. In this population, fungi are found in less than 2 percent of all cases of primary episodes of peritonitis (1). More often, a primary bacterial peritonitis treated with antibiotic therapy leads to secondary fungal infection (2). Candida species cause 74.5% of the episodes of fungal peritonitis (2). The fungi invade the peritoneal cavity from the skin peri- or intraluminally through the catheter (3). Filamentous fungi are rare (4,5). Treatment of fungal peritonitis commonly consists of removal of catheter and antifungal drugs (3). Here we describe two cases of fungal peritonitis caused by mycelial fungi, where the source of the microorganism could be special containers used for biological waste, which are popular in Germany
Alscher
D M
DM
Division of General Internal Medicine and Nephrology, Robert-Bosch-Hospital, Stuttgart, Germany. dominik.alscher@rbk.de
Pfinder-Nohe
E
E
Rumpf
D
D
Pauli-Magnus
C
C
Knabbe
C
C
Kuhlmann
U
U
Mettang
T
T
Krankenhaus
R B
RB
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005093:Exophiala / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D017744:Medical Waste Disposal; D008875:Middle Aged; D009181:Mycoses / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D010143:Paecilomyces / Q000302:isolation & purification*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology
D000935:Antifungal Agents; D017744:Medical Waste Disposal