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Peritonitis due to Penicillium and Enterobacter in a patient receiving continuous ambulatory peritoneal dialysis

Maristela Böhlke1, Person Antunes de Souza, Adriane Maria Delgado Menezes

  • 1Catholic University of Pelotas, Pelotas, RS, Brazil. mbohlke@conesul.com.br

The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases
|July 13, 2007
PubMed

Insights

Polymicrobial peritonitis, often involving fungi, is a complication of continuous ambulatory peritoneal dialysis (CAPD). This study details a rare case of CAPD peritonitis caused by Penicillium, a fungus, highlighting its significance in infectious peritonitis.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Medical Mycology

Background:

  • Infectious peritonitis is a frequent complication in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).
  • Polymicrobial peritonitis occurs in approximately 8% of peritonitis episodes in CAPD patients.
  • Fungal involvement is reported in 9% to 33% of these fungal peritonitis cases.

Observation:

  • This report documents the first known instance of polymicrobial peritonitis involving Penicillium sp. in a CAPD patient.
  • This represents the ninth documented case of Penicillium peritonitis in the context of CAPD.

Findings:

  • The study identifies Penicillium sp. as a causative agent in a polymicrobial peritonitis case within CAPD.
  • This case underscores the diverse fungal pathogens that can lead to peritonitis in CAPD patients.

Implications:

  • Highlights the importance of considering a broad spectrum of fungal pathogens, including Penicillium, in diagnosing and treating CAPD-associated peritonitis.
  • Contributes to the understanding of rare fungal infections in immunocompromised patients undergoing peritoneal dialysis.
  • Informs clinical practice regarding the management of polymicrobial peritonitis in CAPD, emphasizing the need for thorough microbiological investigation.

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