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Histoplasma capsulatum peritonitis associated with continuous ambulatory peritoneal dialysis
J O Lopes1, S H Alves, J P Benevenga
1University Hospital, Santa Maria, RS, Brasil.
Mycopathologia
|May 1, 1993
Abstract:
This paper reports a case of infection by Histoplasma capsulatum apparently restricted to the peritoneum in a woman submitted to continuous ambulatory peritoneal dialysis. Diagnosis was established by culture of dialysis fluid and peritoneal nodule and by histopathologic examination.
Insights
This study details a rare case of Histoplasma capsulatum infection localized to the peritoneum in a patient undergoing continuous ambulatory peritoneal dialysis. Diagnosis was confirmed through dialysis fluid and peritoneal nodule cultures and histopathology.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Nephrology
Background:
- Continuous ambulatory peritoneal dialysis (CAPD) is a treatment for kidney failure.
- Peritoneal infections are a known complication of CAPD.
- Histoplasma capsulatum is a fungus that can cause systemic infections.
Observation:
- A woman undergoing CAPD presented with a suspected peritoneal infection.
- The infection appeared to be exclusively confined to the peritoneal cavity.
- No signs of disseminated histoplasmosis were evident.
Findings:
- Infection by Histoplasma capsulatum was diagnosed.
- Cultures of dialysis fluid and peritoneal nodules yielded positive results for Histoplasma capsulatum.
- Histopathologic examination confirmed the presence of the fungus in peritoneal tissues.
Implications:
- This case highlights the potential for localized peritoneal histoplasmosis in CAPD patients.
- Early and accurate diagnosis is crucial for effective management of fungal peritonitis.
- Further research may be needed to understand risk factors and optimal treatment strategies for this rare complication.