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Exserohilum Peritonitis in Peritoneal Dialysis in Northern China: A Case Report

Yan Liu1,2, Wenjing Gong3, Yanming Yu4

  • 1Department of Infectious Disease, The Affiliated Yantai Yuhuangding Hospital of Qingdao University Institution, Yantai, China.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|March 13, 2019
PubMed

Insights

Fungal peritonitis, a serious complication of peritoneal dialysis (PD), usually stems from Candida. This report details a rare Exserohilum peritonitis case successfully treated with catheter removal and antifungal therapy.

Area of Science:

  • Nephrology
  • Mycology
  • Infectious Diseases

Background:

  • Fungal peritonitis is a severe complication of peritoneal dialysis (PD), frequently necessitating treatment cessation.
  • Candida species are the most common causative agents of fungal peritonitis in PD patients.

Observation:

  • This case report describes an unusual instance of fungal peritonitis caused by Exserohilum species in a PD patient.
  • The patient presented with symptoms indicative of peritonitis.

Findings:

  • The patient was diagnosed with Exserohilum peritonitis, a rare fungal infection in the context of PD.
  • Successful treatment involved the removal of the peritoneal dialysis catheter and administration of antifungal medication.

Implications:

  • This case highlights Exserohilum as a potential pathogen in fungal peritonitis, expanding the known spectrum of causative agents.
  • Prompt diagnosis and combined therapeutic approach (catheter removal and antifungal therapy) can lead to favorable outcomes in rare fungal peritonitis cases.
  • Further research may be warranted to understand the epidemiology and optimal management strategies for non-Candida fungal peritonitis in PD.
Keywords:
Fungal peritonitisvoriconazole

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