title: Fungal Peritonitis Due to Fusarium solani Species Complex Sequential Isolates Identified with DNA Sequencing in a Kidney Transplant Recipient in Brazil.
abstract: Fungal peritonitis is a rare serious complication most commonly observed in immunocompromised patients under peritoneal dialysis. Nevertheless, this clinical condition is more difficult to treat than bacterial peritonitis. Bacterial peritonitis followed by the use of antibiotics is the main risk factor for developing fungal peritonitis. Candida spp. are more frequently isolated, and the isolation of filamentous fungi is only occasional. Here we describe a case of Fusarium solani species complex peritonitis associated with bacterial peritonitis in a female kidney transplant recipient with previous history of nephrotic syndrome. The patient has had Enterobacter sp. endocarditis and was hypertensive and diabetic. Two sequential isolates of F. solani were recovered from cultures and identified with different molecular techniques. She was successfully treated with 50 mg daily amphotericin B for 4 weeks.
authors: Laboratório de Micologia Médica e Molecular, Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Rua Gal. Gustavo Cordeiro de Faria S/N. Petrópolis, Natal, Rio Grande do Norte, Brazil.
authors: Walicyranison Plinio
authors: WP
authors: da Silva-Rocha
authors: Laboratório de Micologia Médica e Molecular, Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Rua Gal. Gustavo Cordeiro de Faria S/N. Petrópolis, Natal, Rio Grande do Norte, Brazil.
authors: Diana Luzia
authors: DL
authors: Zuza-Alves
authors: Laboratório Especial de Micologia, Disciplina de Infectologia, Universidade Federal de São Paulo, São Paulo, Brazil.
authors: Analy Salles de Azevedo
authors: AS
authors: Melo
authors: Laboratório de Micologia Médica e Molecular, Departamento de Análises Clínicas e Toxicológicas, Faculdade de Farmácia, Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Rua Gal. Gustavo Cordeiro de Faria S/N. Petrópolis, Natal, Rio Grande do Norte, Brazil. guilherme.chaves@ufrnet.br.
authors: Guilherme Maranhão
authors: GM
authors: Chaves
mesh_terms: D000328:Adult; D001938:Brazil; D004754:Enterobacter / Q000235:genetics / Q000302:isolation & purification*; D005260:Female; D060585:Fusariosis / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D005670:Fusarium / Q000235:genetics / Q000302:isolation & purification*; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D006801:Humans; D016030:Kidney Transplantation; D008969:Molecular Sequence Data; D010538:Peritonitis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D017422:Sequence Analysis, DNA; D066027:Transplant Recipients
keywords: Fungal peritonitis; Fusarium solani species complex; Kidney transplant recipient; Molecular identification