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Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
06:45

Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis

Published on: December 18, 2010

Containers for waste causing peritonitis in CAPD patients

D M Alscher1, E Pfinder-Nohe, D Rumpf

  • 1Division of General Internal Medicine and Nephrology, Robert-Bosch-Hospital, Stuttgart, Germany. dominik.alscher@rbk.de

EDTNA/ERCA Journal (English Ed.)
|March 1, 2002
PubMed

Insights

Fungal peritonitis is rare in chronic peritoneal dialysis patients. This study highlights unusual cases caused by mycelial fungi, potentially linked to biological waste containers in Germany.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Mycology

Background:

  • Fungal peritonitis is an uncommon complication in patients undergoing chronic peritoneal dialysis, accounting for less than 2% of primary peritonitis cases.
  • Secondary fungal peritonitis often arises following antibiotic treatment for bacterial peritonitis.
  • Candida species are the most frequent culprits, responsible for over 74% of fungal peritonitis episodes.

Observation:

  • Fungal pathogens can enter the peritoneal cavity via the dialysis catheter, originating from the skin or intraluminal sources.
  • Infections caused by filamentous fungi are notably rare.
  • This report details two distinct cases of fungal peritonitis attributed to mycelial fungi.

Findings:

  • The identified mycelial fungi may have originated from specialized biological waste containers, a common disposal method in Germany.
  • This suggests a novel transmission route for fungal peritonitis in peritoneal dialysis patients.

Implications:

  • The findings suggest that standard disinfection protocols may need re-evaluation to include potential environmental sources like biological waste containers.
  • Early identification and source control are crucial for managing fungal peritonitis effectively.
  • Further research is warranted to explore the prevalence of this transmission route and refine preventative strategies in peritoneal dialysis care.

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