Candida parapsilosis peritonitis complicated with infected pancreatic pseudocysts in a peritoneal dialysis patient: a challenge for nephrologists.
In continuous ambulatory peritoneal dialysis (CAPD)-related cases of fungal peritonitis, Candida parapsilosis (C. parapsilosis) has become as common as Candida albicans (C. albicans) in fungal isolates. This report describes a 74-year-old male CAPD patient who received bypass surgery for coronary artery disease, followed by an episode of bacterial peritonitis. The peritonitis was successfully treated with intraperitoneal antibiotics. However, C. parapsilosis peritonitis with concomitant pancreatitis and infected pseudocysts occurred one month later. Despite surgical drainage and intravenous administration of fluconazole, fungal peritonitis persisted. Finally, he died of nosocomial pneumonia. This case demonstrates the poor outcome of C. parapsilosis peritonitis, suggesting a more aggressive treatment in peritoneal dialysis patients.
Liang
C-C
CC
Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University School of Medicine, Taoyuan, Taiwan.
Fang
J-T
JT
Chen
K-H
KH
Hung
C-C
CC
Hwang
T-L
TL
Huang
J-Y
JY
D000368:Aged; D002175:Candida / Q000302:isolation & purification*; D002177:Candidiasis / Q000382:microbiology* / Q000628:therapy; D001026:Coronary Artery Bypass; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010192:Pancreatic Pseudocyst / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects*; D010538:Peritonitis / Q000382:microbiology* / Q000628:therapy; D011183:Postoperative Complications