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A case of Acremonium strictum peritonitis
Asli Gamze Sener1, Mine Yucesoy, Seckin Senturkun
1Ataturk Training and Research Hospital Clinical Microbiology Department, Izmir, Turkey. agsener@gmail.com
Medical Mycology
|July 9, 2008
Summary
Opportunistic fungal infections, like Acremonium strictum, are increasingly recognized causes of illness and death. This case highlights Acremonium strictum peritonitis in a patient undergoing continuous ambulatory peritoneal dialysis.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Nephrology
Background:
- Opportunistic fungal infections are significant causes of morbidity and mortality, particularly in immunocompromised individuals.
- Acremonium species are known to cause infections, occasionally invasive, even in immunocompetent hosts.
- Peritonitis is a frequent complication in patients with end-stage renal disease undergoing continuous ambulatory peritoneal dialysis (CAPD).
Observation:
- This report details a case of peritonitis in a patient on CAPD.
- The causative agent identified was Acremonium strictum, a mold.
- While yeasts and other molds can cause CAPD peritonitis, Acremonium strictum is a less common etiology.
Findings:
- Acremonium strictum was confirmed as the cause of peritonitis in this CAPD patient.
- This case expands the spectrum of fungal pathogens implicated in CAPD-associated peritonitis.
- The successful management of this infection underscores the importance of accurate diagnosis and targeted antifungal therapy.
Implications:
- Highlights the potential for Acremonium strictum to cause invasive disease, even in the context of CAPD.
- Emphasizes the need for vigilance in diagnosing fungal peritonitis in CAPD patients, considering diverse fungal agents.
- Suggests that prompt identification and treatment are crucial for favorable outcomes in such cases.
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