Treatment of Peritonitis Due to Curvularia and Trichosporon with Amphotericin B

Fungal infection is a rare cause of peritonitis among patients receiving continuous ambulatory peritoneal dialysis. Most cases of fungal peritonitis are secondary to candida infection. Two uncommon agents of fungal peritonitis are Curvularia species and Trichosporon beigelii. We report on two patien...

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Bibliographic Details
Published in:Reviews of infectious diseases 1990-07, Vol.12 (4), p.621-627
Main Authors: UJHELYI, M. R, RAASCH, R. H, VAN DER HORST, C. M, MATTERN, W. D
Format: Article
Language:English
Subjects:
Adult
Amphotericin B - therapeutic use
Antibiotics. Antiinfectious agents. Antiparasitic agents
Antifungals
Biological and medical sciences
Catheters
Clinical Infectious Disease Articles
Continuous ambulatory peritoneal dialysis
Dialysis
Dialysis solutions
Dosage
Humans
Infections
Male
Medical sciences
Mitosporic Fungi
Mycoses - drug therapy
Peritoneal dialysis
Peritoneal Dialysis, Continuous Ambulatory
Peritonitis
Peritonitis - drug therapy
Peritonitis - etiology
Pharmacology. Drug treatments
Trichosporon
Trichosporon beigelii
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Summary:Fungal infection is a rare cause of peritonitis among patients receiving continuous ambulatory peritoneal dialysis. Most cases of fungal peritonitis are secondary to candida infection. Two uncommon agents of fungal peritonitis are Curvularia species and Trichosporon beigelii. We report on two patients receiving peritoneal dialysis who presented for medical evaluation within a 1-week period. Fungal culture of the dialysis catheter was positive for Culvularia species in one case and for T. beigelii in the other. Both patients probably had acquired their infections through environmental contamination. Successful treatment of these infections includes removal of the peritoneal dialysis catheter and administration of intravenous amphotericin B.
ISSN:0162-0886