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Peritoneal dialysis (PD) catheter-related peritonitis from Aureobasidium pullulans caused by poor caregiver's hand

Tamonwan Chamroensakchai1,2, Kesinee Leedumrongwattanakul3, Kullaya Takkavatakarn4

  • 1Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.

Medical Mycology Case Reports
|August 8, 2019
PubMed

Insights

Fungal peritonitis from Aureobasidium pullulans is rare in peritoneal dialysis (PD) patients. Strict hand hygiene and nail care can prevent this catheter-related infection.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Nephrology

Background:

  • Catheter-related peritonitis is a frequent complication in patients undergoing peritoneal dialysis (PD).
  • Fungal peritonitis is an uncommon cause of PD-related infections, with limited documented cases.
  • Dematiaceous fungi, like Aureobasidium pullulans, are rarely implicated in peritonitis.

Observation:

  • This report details the first documented case of catheter-related peritonitis caused by Aureobasidium pullulans in a PD patient.
  • Aureobasidium pullulans is identified as a black yeast-like dematiaceous fungus.
  • Literature review on fungal peritonitis in PD patients was conducted.

Findings:

  • The study identifies poor hand hygiene and inadequate fingernail care as potential contributing factors to this fungal peritonitis.
  • Aureobasidium pullulans represents a novel pathogen in PD-related peritonitis.

Implications:

  • Strict adherence to hand-washing protocols by patients and caregivers is crucial for preventing fungal peritonitis.
  • Enhanced infection control measures, focusing on hygiene and nail care, are recommended for PD patients.
  • This case highlights the importance of considering unusual pathogens in refractory or recurrent peritonitis.
Keywords:
AureobasidiumCatheter-related peritonitisFungal peritonitisPDPeritoneal dialysis

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