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An unusual presentation of Aspergillus peritoneal dialysis catheter infection

Maryn Gardner1, Trey Richardson1, Megha Salani1

  • 1Home Dialysis Program, Vanderbilt University Medical Center, Nashville, TN, USA.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|December 11, 2025
PubMed

Insights

An unusual color change in a peritoneal dialysis (PD) transfer set indicated an Aspergillus fungal infection. Early diagnosis of such rare fungal infections is crucial to prevent severe complications like fungal peritonitis.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Medical Mycology

Background:

  • Fungal infections in peritoneal dialysis (PD) patients can lead to serious complications.
  • Fungal peritonitis is associated with high mortality and PD technique failure.

Purpose of the Study:

  • To report an uncommon presentation of fungal infection in PD.
  • To highlight the diagnostic utility of visual cues in PD catheter-related infections.

Main Methods:

  • Case report of a patient with a PD catheter.
  • Observation of a color change in the PD transfer set.

Main Results:

  • The color change in the PD transfer set was indicative of an Aspergillus fungal infection.
  • This unusual sign allowed for early diagnosis.

Conclusions:

  • Recognizing rare fungal infection presentations is vital for timely intervention.
  • Early diagnosis and treatment can mitigate the risks of fungal peritonitis in PD patients.
Keywords:
AspergillusAspergillus peritonitisFungal peritonitisfungal infectionperitoneal dialysisperitoneal dialysis-related peritonitistransfer set discoloration

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