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Trichoderma viride peritonitis.

C B Loeppky, R F Sprouse, J V Carlson

    Southern Medical Journal
    |June 1, 1983
    PubMed
    Summary

    A rare fungal peritonitis caused by Trichoderma viride occurred in a patient with kidney failure undergoing peritoneal dialysis. This soil fungus, typically non-invasive, led to a fatal infection, highlighting potential treatment challenges.

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    Area of Science:

    • Mycology
    • Nephrology
    • Infectious Diseases

    Background:

    • Continuous ambulatory peritoneal dialysis (CAPD) is a treatment for end-stage renal disease.
    • Amyloidosis can lead to renal failure, necessitating dialysis.
    • Fungal peritonitis is a serious complication of peritoneal dialysis.

    Observation:

    • A patient with renal failure due to amyloidosis on CAPD developed peritonitis.
    • The causative agent was identified as Trichoderma viride, a soil-dwelling fungus.
    • Tissue invasion by Trichoderma viride in humans had not been previously documented.

    Findings:

    • The patient experienced fungal peritonitis, a rare but severe complication.
    • Trichoderma viride demonstrated susceptibility to amphotericin B and ketoconazole in vitro.
    • Despite in vitro susceptibility, the patient's outcome was fatal before therapeutic response could be assessed.

    Implications:

    • This case highlights the potential for ubiquitous soil fungi like Trichoderma viride to cause invasive infections.
    • Early diagnosis and appropriate antifungal therapy are crucial for managing fungal peritonitis in dialysis patients.
    • Further research is needed to understand the pathogenicity and treatment strategies for Trichoderma viride infections.

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