Fungal Peritonitis Due to Fusarium solani Species Complex Sequential Isolates Identified with DNA Sequencing in a Kidney Transplant Recipient in Brazil

• Published in: Mycopathologia (1975) Vol. 180; no. 5-6; pp. 397 - 401
• Main Authors: da Silva-Rocha, Walicyranison Plinio, Zuza-Alves, Diana Luzia, Melo, Analy Salles de Azevedo, Chaves, Guilherme Maranhão
• Format: Journal Article
• Language: English
• Published: Netherlands Springer Nature B.V 01.12.2015
• Subjects: Abdomen; Adult; Brazil; Candida; Case reports; Diabetes; Enterobacter; Enterobacter - genetics; Enterobacter - isolation & purification; Female; Fusariosis - complications; Fusariosis - diagnosis; Fusariosis - microbiology; Fusariosis - pathology; Fusarium - genetics; Fusarium - isolation & purification; Fusarium solani; Gram-Positive Bacterial Infections - complications; Gram-Positive Bacterial Infections - diagnosis; Gram-Positive Bacterial Infections - microbiology; Gram-Positive Bacterial Infections - pathology; Humans; Hypertension; Kidney diseases; Kidney Transplantation; Kidney transplants; Microscopy; Molecular Sequence Data; Peritonitis; Peritonitis - diagnosis; Peritonitis - microbiology; Peritonitis - pathology; Phylogenetics; Sequence Analysis, DNA; Transplant Recipients; Brazil; Rio Grande do Norte Brazil; Fusarium solani species complex; Kidney transplant recipient; Fungal peritonitis; Molecular identification
• ISSN: 0301-486X; 1573-0832
• DOI: 10.1007/s11046-015-9929-7

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.