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Peritonitis due to the dermatiaceous mold Exophiala dermatitidis complicating continuous ambulatory peritoneal
J Greig1, M Harkness, P Taylor
1Public Health Laboratory Service, Derriford Hospital, Derriford Road, Plymouth PL6 8DH, UK. jjrgreig@yahoo.co.uk
Abstract:
Exophiala (Wangiella) dermatitidis is a dermatiaceous mold that is an occasional cause of infection in the immunocompromised. We report a case of continuous ambulatory peritoneal dialysis-associated peritonitis probably due to environmental contamination with this organism. Prompt catheter removal and aggressive treatment with amphotericin B allowed an eventual return to peritoneal dialysis.
Insights
Exophiala dermatitidis, a fungus, can cause peritonitis in patients undergoing continuous ambulatory peritoneal dialysis. Prompt treatment involving catheter removal and amphotericin B successfully resolved the infection, allowing a return to dialysis.
Area of Science:
- Mycology
- Infectious Diseases
- Nephrology
Background:
- Exophiala (Wangiella) dermatitidis is a dematiaceous mold.
- It is an opportunistic pathogen, primarily affecting immunocompromised individuals.
Observation:
- A case of continuous ambulatory peritoneal dialysis-associated peritonitis is presented.
- The peritonitis was likely caused by environmental contamination with Exophiala (Wangiella) dermatitidis.
Findings:
- Prompt removal of the peritoneal dialysis catheter was crucial.
- Aggressive treatment with amphotericin B was administered.
Implications:
- Successful management led to the patient's eventual return to peritoneal dialysis.
- Highlights the importance of environmental control and timely intervention in managing fungal peritonitis in dialysis patients.