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Fungal Peritonitis Secondary to Aspergillosis in a Peritoneal Dialysis Patient

Carl Tanba1, Nahar Saleh1

  • 1Medstar Health Internal Medicine Residency Program, Baltimore, United States.

Journal of Community Hospital Internal Medicine Perspectives
|February 23, 2023
PubMed

Insights

Fungal peritonitis is a serious complication of peritoneal dialysis. This case highlights a rare instance of Aspergillosis Fumigatus, emphasizing early diagnosis and treatment for improved patient outcomes.

Area of Science:

  • Nephrology
  • Mycology
  • Infectious Diseases

Background:

  • Fungal peritonitis is a severe complication of peritoneal dialysis (PD), often linked to Candida species.
  • Non-Candida fungal infections, such as Aspergillus, Fusarium, and Mucor, are less common but pose significant risks.

Observation:

  • A 27-year-old male with focal segmental glomerulosclerosis on PD presented with abdominal pain, diarrhea, and cloudy PD output.
  • The patient was diagnosed with fungal peritonitis caused by Aspergillus Fumigatus.

Findings:

  • Aspergillus Fumigatus peritonitis is a rare complication in peritoneal dialysis patients.
  • Prompt PD catheter removal and early antifungal therapy, particularly with voriconazole, are crucial for managing this infection.

Implications:

  • Fungal peritonitis, especially non-Candida types, should be considered in PD patients with risk factors like prolonged antibiotic use or recent bacterial peritonitis.
  • Early diagnosis and targeted antifungal treatment are essential for improving survival rates in fungal peritonitis.
Keywords:
Aspergillosis FumigatusFungal peritonitisPeritoneal dialysis

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