title: Acremonium spp. peritonitis in an infant.
abstract: Fungal peritonitis is a rare but serious complication in children on peritoneal dialysis. Clinical presentation of fungal peritonitis is similar to bacterial peritonitis and Candida spp. are the most common agent. Fungal peritonitis has been usually associated with high morbidity, mortality and its treatment is difficult. In this report, we present an infant with Acremonium spp. peritonitis. A 7-month-old boy with Down syndrome, congenital heart disease, pulmonary hypertension and congestive heart failure required peritoneal dialysis for his persistent pulmonary oedema and symptomatic hyponatremia. Acremonium spp. peritonitis developed while he was on extended spectrum antibiotics and fluconazole. The patient was successfully treated with peritoneal dialysis catheter removal and liposomal amphotericin B. The case was presented to draw attention to a rare cause of peritonitis -Acremonium spp. - in a paediatric patient.
authors.affiliation: Pediatric Intensive Care Unit, Ankara University School of Medicine, Ankara, Turkey. tanilkendirli@hotmail.com
authors.forename: Tanil
authors.initials: T
authors.lastname: Kendirli
authors.forename: Ergin
authors.initials: E
authors.lastname: Ciftçi
authors.forename: Mesiha
authors.initials: M
authors.lastname: Ekim
authors.forename: Nilüfer
authors.initials: N
authors.lastname: Galip
authors.forename: Filiz
authors.initials: F
authors.lastname: Düzenli
authors.forename: Zeynep Birsin
authors.initials: ZB
authors.lastname: Ozçakar
authors.forename: Anil
authors.initials: A
authors.lastname: Tapisiz
authors.forename: Tayfun
authors.initials: T
authors.lastname: Uçar
authors.forename: Ercan
authors.initials: E
authors.lastname: Tutar
authors.forename: Haluk
authors.initials: H
authors.lastname: Güriz
authors.forename: Semra
authors.initials: S
authors.lastname: Atalay
mesh_terms: D000164:Acremonium / Q000302:isolation & purification*; D000666:Amphotericin B / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D004314:Down Syndrome / Q000150:complications; D015725:Fluconazole / Q000627:therapeutic use; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D007223:Infant; D008297:Male; D009181:Mycoses / Q000175:diagnosis*; D010530:Peritoneal Dialysis / Q000009:adverse effects; D010538:Peritonitis / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents; C068538:liposomal amphotericin B; D000666:Amphotericin B; D015725:Fluconazole