title: CAPD Catheter Exit-Site and Tunnel Infection with Fungal Etiology-Treatment and Catheter Reinsertion for an Extremely Rare Complication.
abstract: Fungal infection is an extremely rare etiology of exit-site and tunnel infection in patients on continuous ambulatory peritoneal dialysis (CAPD). There are few data available regarding its management-especially choice of antifungals, duration of therapy, and removal of catheter. There are no guidelines pertaining to reinsertion of the CAPD catheter following fungal exit-site and tunnel infection. This case report highlightsCandida albicansas a rare cause of exit-site and tunnel infection of the CAPD catheter. The catheter was removed and the patient received appropriate antifungal therapy followed by reinsertion of the CAPD catheter and re-initiation on CAPD.
authors.affiliation: Department of Nephrology, Christian Medical College and Hospital, Ludhiana, Punjab, India dr.manmeetjhawar@gmail.com.
authors.forename: Manmeet Singh
authors.initials: MS
authors.lastname: Jhawar
authors.affiliation: Department of Nephrology, Christian Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Jasmin
authors.initials: J
authors.lastname: Das
authors.affiliation: Department of Nephrology, Christian Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Pratish
authors.initials: P
authors.lastname: George
authors.affiliation: Department of Surgery, Christian Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Luther
mesh_terms: D000935:Antifungal Agents / Q000008:administration & dosage; D002176:Candida albicans / Q000302:isolation & purification; D002177:Candidiasis / Q000188:drug therapy* / Q000503:physiopathology; D055499:Catheter-Related Infections / Q000382:microbiology* / Q000628:therapy; D002408:Catheters, Indwelling / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000009:adverse effects* / Q000379:methods; D035583:Rare Diseases; D019233:Retreatment / Q000379:methods; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents
keywords: ESI; continuous ambulatory peritoneal dialysis; fungal infection; tunnel infection