title: Curvularia lunata,a rare fungal peritonitis in continuous ambulatory peritoneal dialysis (CAPD); a rare case report.
abstract: Peritonitis is an inflammation of the peritoneum that occurs in patients with end-stage renal disease (ESRD) treated by peritoneal dialysis. Fungal peritonitis is a dreaded complication of peritoneal dialysis.Curvularia lunatais known to cause extra renal disease like endocarditis, secondary allergic bronchopulmonary aspergillosis and endophthalmitis. This case report presents a case of continuous ambulatory peritoneal dialysis peritonitis with this disease and its management. This case is of a 45-year-old man, presented with ESRD, secondary to diabetic nephropathy. After 3 months of hemodialysis the patient was put on continuous ambulatory peritoneal dialysis (CAPD). Local Examination at catheter site showed skin excoriation and purulent discharge. Further peritoneal dialysis (PD) fluid analysis showed neutrophilic leukocytosis and diagnosis ofCurvularia lunataPD peritonitis.
authors.affiliation: Department of Nephrology, Sri Ramachandra Medical College and Hospital, Sri Ramachandra University, Chennai, India.
authors.forename: Haritha
authors.initials: H
authors.lastname: Subramanyam
authors.affiliation: Department of Nephrology, Sri Ramachandra Medical College and Hospital, Sri Ramachandra University, Chennai, India.
authors.forename: Ramprasad
authors.initials: R
authors.lastname: Elumalai
authors.affiliation: Department of Microbiology, Sri Ramachandra Medical College and Hospital, Sri Ramachandra University, Chennai, India.
authors.forename: Anupma Jyoti
authors.initials: AJ
authors.lastname: Kindo
authors.affiliation: Department of Nephrology, Sri Ramachandra Medical College and Hospital, Sri Ramachandra University, Chennai, India.
authors.forename: Soundararajan
authors.initials: S
authors.lastname: Periasamy
keywords: Continuous ambulatory peritoneal diagnosis; Curvularia lunata; peritonitis