A case of rare, fungal peritonitis caused by Histoplasma capsulatum in a patient on CAPD.
BACKGROUND
A 62-year-old man with a history of end-stage renal disease secondary to hypertension who was on continuous ambulatory peritoneal dialysis (CAPD), presented to a peritoneal dialysis clinic with subacute onset of abdominal pain, mainly in the epigastric region.


METHODS
Full medical history, physical examination, laboratory tests, cultures of peritoneal dialysis fluid, radiography, ultrasonography and CT scanning of the abdomen and pelvis.


METHODS
Isolated fungal peritonitis caused by infection with Histoplasma capsulatum.


RESULTS
Removal of the peritoneal dialysis catheter, treatment with itraconazole for 6 months.
Ijaz
Adeel
A
Division of Nephrology, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
Choudhury
Devasmita
D
D000935:Antifungal Agents / Q000627:therapeutic use; D004502:Education, Medical, Continuing; D006658:Histoplasma; D006660:Histoplasmosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
D000935:Antifungal Agents; D017964:Itraconazole