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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.
Abstract:
Peritonitis, the commonest complication of peritoneal dialysis, is usually bacterial in origin. Fungal peritonitis is rarely encountered. We are reporting a rare case of fungal peritonitis caused by Trichosporon beigelii in a patient on continuous ambulatory peritoned dialysis (CAPD), who was HIV positive.
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.