title: Aspergillus fumigatus peritonitis in ambulatory peritoneal dialysis: a case report and notes on the therapeutic approach.
abstract: Aspergillus peritonitis is a rare disease in continuous peritoneal dialysis. It is a severe form of peritonitis, which is frequently lethal. We report a case of Aspergillus fumigatus peritonitis in a female patient on automated peritoneal dialysis (APD), who was successfully treated with intravenous amphotericin B and the removal of the peritoneal catheter. As delayed treatment has an increased mortality rate, it is mandatory to remove the catheter and to start intravenous treatment with amphotericin B empirically.
authors.affiliation: Department of Medical and Surgical Sciences, Division of Nephrology, Policlinico Universitario, University of Padua, Italy.
authors.forename: Luciana
authors.initials: L
authors.lastname: Bonfante
authors.forename: Federico
authors.initials: F
authors.lastname: Nalesso
authors.forename: Marilena
authors.initials: M
authors.lastname: Cara
authors.forename: Augusto
authors.initials: A
authors.lastname: Antonello
authors.forename: Andrea
authors.initials: A
authors.lastname: Malagoli
authors.forename: Giordano
authors.initials: G
authors.lastname: Pastori
authors.forename: Marta
authors.initials: M
authors.lastname: Guizzo
authors.forename: Angela
authors.initials: A
authors.lastname: D'Angelo
authors.forename: Giovanni
authors.initials: G
authors.lastname: Gambaro
mesh_terms: D000368:Aged; D000666:Amphotericin B / Q000008:administration & dosage / Q000009:adverse effects; D000935:Antifungal Agents / Q000008:administration & dosage / Q000009:adverse effects; D001228:Aspergillosis / Q000188:drug therapy*; D001232:Aspergillus fumigatus; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage / Q000009:adverse effects; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000188:drug therapy* / Q000382:microbiology
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B