Acremonium spp. peritonitis in an infant.
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.
Kendirli
Tanil
T
Pediatric Intensive Care Unit, Ankara University School of Medicine, Ankara, Turkey. tanilkendirli@hotmail.com
Ciftçi
Ergin
E
Ekim
Mesiha
M
Galip
Nilüfer
N
Düzenli
Filiz
F
Ozçakar
Zeynep Birsin
ZB
Tapisiz
Anil
A
Uçar
Tayfun
T
Tutar
Ercan
E
Güriz
Haluk
H
Atalay
Semra
S
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*
D000900:Anti-Bacterial Agents; D000935:Antifungal Agents; C068538:liposomal amphotericin B; D000666:Amphotericin B; D015725:Fluconazole