Nephrology Department, Hippokration Hospital, Athens, Greece.
Mycology Laboratory, Department of Microbiology, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
J Med Microbiol. 2010 Jul;59(Pt 7):862-865. doi: 10.1099/jmm.0.019133-0. Epub 2010 Apr 15.
Fungal peritonitis is a rare, potentially lethal, complication of continuous ambulatory peritoneal dialysis (CAPD). We report what we believe to be the first confirmed Neosartorya hiratsukae CAPD-related peritonitis case in Europe. The patient died, despite early removal of the peritoneal catheter and antifungal therapy. This report highlights the impact of emerging fungal pathogens and the importance of early diagnosis on the outcome in CAPD-related fungal peritonitis.
真菌性腹膜炎是持续性不卧床腹膜透析(CAPD)的一种罕见且可能致命的并发症。我们报告了在欧洲首例确诊的 Neosartorya hiratsukae 与 CAPD 相关的腹膜炎病例。尽管及早拔除了腹膜导管和进行了抗真菌治疗,但患者仍死亡。本报告强调了新兴真菌病原体的影响以及早期诊断对 CAPD 相关真菌性腹膜炎结局的重要性。