Paecilomyces peritonitis: case report and review of the literature

While filamentous fungi are a rare cause of peritonitis in peritoneal dialysis patients, there is increasing recognition of Paecilomyces species as pathogens in such patients. We herein report a case of fungal peritonitis secondary to the filamentous Paecilomyces variotii species. The patient had a...

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Bibliographic Details
Published inClinical nephrology Vol. 59; no. 4; p. 305
Main Authors Wright, K, Popli, S, Gandhi, V C, Lentino, J R, Reyes, C V, Leehey, D J
Format Journal Article
LanguageEnglish
Published Germany 01.04.2003
Subjects
Humans
Kidney Failure, Chronic - diagnosis
Kidney Failure, Chronic - microbiology
Kidney Failure, Chronic - therapy
Male
Middle Aged
Mycoses - diagnosis
Mycoses - etiology
Mycoses - microbiology
Paecilomyces - isolation & purification
Paecilomyces - pathogenicity
Peritoneal Dialysis, Continuous Ambulatory - adverse effects
Peritonitis - diagnosis
Peritonitis - etiology
Peritonitis - microbiology
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Summary:While filamentous fungi are a rare cause of peritonitis in peritoneal dialysis patients, there is increasing recognition of Paecilomyces species as pathogens in such patients. We herein report a case of fungal peritonitis secondary to the filamentous Paecilomyces variotii species. The patient had a long and ultimately fatal course of illness despite catheter removal, discontinuation of peritoneal dialysis, recurrent intraabdominal abscess drainage, and prolonged courses of antifungal therapy. Our experience with this case and a review of the literature suggests that infection with this fungus can cause substantial morbidity and is probably best treated with prompt catheter removal, aggressive antifungal therapy and vigilant observation for complications.
ISSN:0301-0430
DOI:10.5414/cnp59305