[Severe case of Candida peritonitis in a patient on CAPD--a successful treatment].
Continuous ambulatory peritoneal dialysis (CAPD) is a widespread method of treatment used in approximately 10% of all patients suffering from terminal renal insufficiency. The main problem of this procedure is the increased risk of peritoneal infection. The incidence of such a peritonitis is quoted at one episode per 13-18.4 months of treatment. Candida peritonitis is a particularly severe form of CAPD peritonitis. This is a nosocomial infection with a high lethality rate of about 60%. The incidence of Candida peritonitis in CAPD patients amounts to approximately 5% of all intraabdominal infections and is on the increase. The authors describe a severe case of Candida peritonitis in a patient on CAPD. The therapeutic concept of this severe illness is illustrated.
Hennings
L
L
Nephrologisches Zentrum an der Sana Klinik Lübeck, D-23562 Lübeck, Germany. Lutz_Hennings@yahoo.de
Bouchard
R
R
Klempien
I
I
Müller
G
G
Rob
P
P
Kujath
P
P
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use*; D002176:Candida albicans / Q000302:isolation & purification*; D002177:Candidiasis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*; D051437:Renal Insufficiency / Q000628:therapy; D012720:Severity of Illness Index; D016896:Treatment Outcome
D000935:Antifungal Agents