Kujath P, Kochendörfer P, Kreisköther E, Dämmrich J
Chirurgische Universitätsklinik und Poliklinik, Universität Würzburg.
Chirurg. 1990 Dec;61(12):900-5.
Mycotic peritonitis can be demonstrated by microbiological, histological and serological tests. The disease can be proved histologically by a deep invasion of fungi. Initially, the mycotic peritonitis can be caused by polymicrobial infections and also by genuine mycotic invasion after perforation of the gastrointestinal tract. In the final phase of the disease only these fungi are of relevance. In most of the cases candida albicans can be verified. In the procedure of programmed peritoneal lavage the mycotic peritonitis provides a severe complication. Untreated, it would cause death by dissemination, fungemia and candida sepsis. 8 out of 12 patients with candida peritonitis died. Most of the patients had been severely ill previously and had shown several risk factors promoting mycotic disease. Antimycotic treatment has to be initiated as soon as possible, in order to diminish the high lethality.
霉菌性腹膜炎可通过微生物学、组织学和血清学检查得以证实。该疾病可通过真菌的深度侵袭在组织学上得到证实。起初，霉菌性腹膜炎可由多种微生物感染引起，也可由胃肠道穿孔后的真正真菌侵袭所致。在疾病的终末期，只有这些真菌具有相关性。在大多数病例中，可证实白色念珠菌感染。在计划性腹膜灌洗过程中，霉菌性腹膜炎会引发严重并发症。若不进行治疗，它将因播散、真菌血症和念珠菌败血症导致死亡。12例念珠菌性腹膜炎患者中有8例死亡。大多数患者此前病情严重，并已表现出多种促发霉菌性疾病的危险因素。必须尽快开始抗真菌治疗，以降低高致死率。
