Pérez Melón C, Camba M, Tinajas A, Otero A, Iglesias A, Armada E, Esteban J
Servicio de Nefrología, Compexo Hospitalario Ourense.
Nefrologia. 2007;27(1):81-2.
Prototheca spp exits throughout nature but only infrequently cause infection in humans. Most of the cases of human infection have involved the skin or subcutaneous tissues, but there have been reports of rare cases of protothecosis of the urinary tract, and disseminated disease. The species most commonly isolated is Prototheca wickerhamii. Few cases of peritonitis due to P. wickerhamii in peritoneal dialysis had been reported. We report a successful treatment of Prototheca peritonitis complicating peritoneal dialysis with amphotericin, itraconazole and removal of the catheter.
原藻属在自然界中广泛存在,但很少引起人类感染。大多数人类感染病例累及皮肤或皮下组织,但也有罕见的泌尿道原藻病和播散性疾病的报道。最常分离出的菌种是威克海姆原藻。腹膜透析患者中由威克海姆原藻引起的腹膜炎病例报道较少。我们报告了一例成功治疗腹膜透析并发原藻性腹膜炎的病例,采用两性霉素、伊曲康唑治疗并拔除导管。