一例罕见的由荚膜组织胞浆菌引起的真菌性腹膜炎，发生于 CAPD 患者。
A case of rare, fungal peritonitis caused by Histoplasma capsulatum in a patient on CAPD.
机构信息
Division of Nephrology, University of Texas Southwestern Medical School, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA.
出版信息
Nat Rev Nephrol. 2010 Jul;6(7):435-9. doi: 10.1038/nrneph.2010.70. Epub 2010 Jun 1.
BACKGROUND
A 62-year-old man with a history of end-stage renal disease secondary to hypertension who was on continuous ambulatory peritoneal dialysis (CAPD), presented to a peritoneal dialysis clinic with subacute onset of abdominal pain, mainly in the epigastric region.
INVESTIGATIONS
Full medical history, physical examination, laboratory tests, cultures of peritoneal dialysis fluid, radiography, ultrasonography and CT scanning of the abdomen and pelvis.
DIAGNOSIS
Isolated fungal peritonitis caused by infection with Histoplasma capsulatum.
MANAGEMENT
Removal of the peritoneal dialysis catheter, treatment with itraconazole for 6 months.
背景
一名 62 岁男性，既往有高血压导致的终末期肾病病史，正在接受持续不卧床腹膜透析（CAPD）治疗，因亚急性发作的腹痛、主要在上腹部就诊于腹膜透析门诊。
检查
详细的病史、体格检查、实验室检查、腹膜透析液培养、放射学检查、腹部和骨盆的超声检查和 CT 扫描。
诊断
荚膜组织胞浆菌感染引起的孤立性真菌性腹膜炎。
治疗
拔除腹膜透析导管，伊曲康唑治疗 6 个月。
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