Jhawar Manmeet Singh, Das Jasmin, George Pratish, Luther Anil
Department of Nephrology, Christian Medical College and Hospital, Ludhiana, Punjab, India
Department of Nephrology, Christian Medical College and Hospital, Ludhiana, Punjab, India.
Perit Dial Int. 2017 Mar-Apr;37(2):237-239. doi: 10.3747/pdi.2016.00031.
Fungal infection is an extremely rare etiology of exit-site and tunnel infection in patients on continuous ambulatory peritoneal dialysis (CAPD). There are few data available regarding its management-especially choice of antifungals, duration of therapy, and removal of catheter. There are no guidelines pertaining to reinsertion of the CAPD catheter following fungal exit-site and tunnel infection. This case report highlights as a rare cause of exit-site and tunnel infection of the CAPD catheter. The catheter was removed and the patient received appropriate antifungal therapy followed by reinsertion of the CAPD catheter and re-initiation on CAPD.
真菌感染是持续性非卧床腹膜透析（CAPD）患者出口处和隧道感染极其罕见的病因。关于其治疗，尤其是抗真菌药物的选择、治疗持续时间和导管拔除，可用数据很少。目前尚无关于真菌性出口处和隧道感染后重新插入CAPD导管的指南。本病例报告强调了CAPD导管出口处和隧道感染的一种罕见病因。导管被拔除，患者接受了适当的抗真菌治疗，随后重新插入CAPD导管并重新开始CAPD治疗。
