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Peritonitis caused by Aspergillus sydowii in a patient undergoing continuous ambulatory peritoneal dialysis

Yen-Ling Chiu1, Shwu-Jen Liaw, Vin-Cent Wu

  • 1Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, No. 7, Chung-Shan South Road, Taipei 100, Taiwan, ROC.

The Journal of Infection
|October 19, 2005
PubMed

Insights

A rare fungal infection, Aspergillus sydowii peritonitis, occurred in a continuous ambulatory peritoneal dialysis patient. The patient recovered fully after catheter removal without antifungal treatment.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Nephrology

Background:

  • Continuous ambulatory peritoneal dialysis (CAPD) is a common treatment for end-stage renal disease.
  • Catheter-related infections are a significant complication in patients undergoing peritoneal dialysis.
  • Fungal peritonitis is a rare but serious complication of peritoneal dialysis.

Observation:

  • A patient on CAPD developed peritonitis.
  • The causative agent was identified as Aspergillus sydowii.
  • Diagnosis was confirmed via ribosomal RNA gene sequence analysis.

Findings:

  • Aspergillus sydowii peritonitis in a CAPD patient is described.
  • The patient showed clinical improvement and recovery after peritoneal catheter removal.
  • No antifungal therapy was required for successful treatment.

Implications:

  • This case highlights Aspergillus sydowii as a potential pathogen in CAPD-related peritonitis.
  • Catheter removal may be a sufficient treatment strategy in select cases of fungal peritonitis.
  • Further research into the management of fungal peritonitis in dialysis patients is warranted.

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