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Trichosporon beigelii peritonitis in a HIV-positive patient on continuous ambulatory peritoneal dialysis

S Anuradha1, A Chatterjee, J Bajaj

  • 1Nephrology Division, Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi-110 002.

The Journal of the Association of Physicians of India
|February 24, 2001
PubMed

Insights

Fungal peritonitis is a rare complication of peritoneal dialysis. This report details a unique case of Trichosporon beigelii fungal peritonitis in an HIV-positive patient undergoing continuous ambulatory peritoneal dialysis (CAPD).

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Mycology

Background:

  • Peritonitis is a frequent complication in patients undergoing peritoneal dialysis.
  • Bacterial infections are the most common cause of peritonitis in this population.
  • Fungal peritonitis is an uncommon but serious condition.

Observation:

  • A rare case of fungal peritonitis was observed.
  • The causative agent was identified as Trichosporon beigelii.
  • The patient was undergoing continuous ambulatory peritoneal dialysis (CAPD) and was also diagnosed with HIV.

Findings:

  • The study highlights a rare instance of fungal peritonitis.
  • Trichosporon beigelii was identified as the pathogen responsible for the peritonitis.
  • The patient's concurrent HIV infection is a significant factor.

Implications:

  • This case underscores the importance of considering fungal etiologies in peritonitis, especially in immunocompromised patients.
  • Early diagnosis and appropriate antifungal treatment are crucial for managing fungal peritonitis in CAPD patients.
  • Further research may be needed to understand the specific risks and management strategies for fungal peritonitis in HIV-positive individuals on CAPD.

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