Ujhelyi M R, Raasch R H, van der Horst C M, Mattern W D
School of Pharmacy, University of North Carolina, Chapel Hill.
Rev Infect Dis. 1990 Jul-Aug;12(4):621-7. doi: 10.1093/clinids/12.4.621.
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 Curvularia 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.
真菌感染是接受持续性非卧床腹膜透析患者发生腹膜炎的罕见原因。大多数真菌性腹膜炎病例继发于念珠菌感染。真菌性腹膜炎的两种不常见病原体是弯孢属菌种和白吉利丝孢酵母。我们报告了两名接受腹膜透析的患者，他们在1周内前来接受医学评估。其中1例透析导管的真菌培养显示弯孢属菌种阳性，另1例显示白吉利丝孢酵母阳性。两名患者的感染可能均通过环境污染获得。这些感染的成功治疗包括拔除腹膜透析导管并静脉注射两性霉素B。
