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Uncommon causes of peritonitis in patients undergoing peritoneal dialysis
Abstract:
In five patients, peritonitis caused by uncommon agents was acquired during continuous ambulatory peritoneal dialysis. Three patients had yeast (two Candida albicans, one C parapsilosis), one Aspergillus fumigatus, and one Nocardia asteroides infections. A review of the literature indicates that yeasts are the most common cause of peritoneal dialysis-associated fungal peritonitis; only one other possible case of Aspergillus sp and no Nocardia infections have been proved, to our knowledge. Observations are recorded in reference to diagnosis and suggested methods of treatment.
Insights
Peritonitis during continuous ambulatory peritoneal dialysis is often caused by uncommon agents like yeast, Aspergillus, and Nocardia. This study reviews five such cases, highlighting diagnosis and treatment strategies for these rare infections.
Area of Science:
- Nephrology
- Infectious Diseases
- Microbiology
Background:
- Peritonitis is a serious complication of continuous ambulatory peritoneal dialysis (CAPD).
- Uncommon causative agents of peritonitis in CAPD patients are less understood.
- Fungal and bacterial peritonitis require specific diagnostic and therapeutic approaches.