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Paecilomyces peritonitis: case report and review of the literature

K Wright1, S Popli, V C Gandhi

  • 1Veterans Affairs Hospital, Hines, Illinois 60141, USA.

Clinical Nephrology
|April 24, 2003
PubMed

Insights

Filamentous fungi like Paecilomyces variotii rarely cause peritonitis in peritoneal dialysis patients. This case highlights the severe illness and challenges in treating such fungal infections, even with aggressive management.

Area of Science:

  • Medical Mycology
  • Infectious Diseases

Background:

  • Peritonitis is a serious complication in patients undergoing peritoneal dialysis.
  • Filamentous fungi are uncommon causes of peritonitis, but Paecilomyces species are increasingly recognized pathogens.

Observation:

  • A case of fungal peritonitis caused by Paecilomyces variotii in a peritoneal dialysis patient is presented.
  • The patient experienced a prolonged and fatal illness despite comprehensive treatment, including catheter removal and antifungal therapy.

Findings:

  • Paecilomyces variotii can lead to severe morbidity in peritoneal dialysis-associated peritonitis.
  • Treatment challenges include the need for aggressive antifungal therapy and prompt intervention.

Implications:

  • Early diagnosis and prompt management, including catheter removal and aggressive antifungal treatment, are crucial for improving outcomes.
  • Vigilant monitoring for complications is essential in managing Paecilomyces peritonitis.

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