Sanghvi Yogesh, Somers Douglas
E300 GH, Division of Nephrology, Department of Internal Medicine, University of Iowa Hospital & Clinics, Iowa City, IA, USA.
Semin Dial. 2017 Sep;30(5):453-455. doi: 10.1111/sdi.12614. Epub 2017 Jun 19.
Fungal peritonitis is an uncommon complication in peritoneal dialysis patients. We report a case of blastomyces dermatitis peritonitis in a nonimmunocompromised peritoneal dialysis patient, who initially presented with symptoms of lower extremity weakness and altered mental status. Peritoneal blastomycosis is rare condition and not previously reported in end stage renal disease patients on peritoneal dialysis. Fungal peritonitis can present with subtle clinical findings so a high index of suspicion is needed as early detection and treatment may decrease mortality and morbidity.
真菌性腹膜炎是腹膜透析患者中一种罕见的并发症。我们报告一例非免疫功能低下的腹膜透析患者发生皮炎芽生菌性腹膜炎的病例，该患者最初表现为下肢无力和精神状态改变。腹膜芽生菌病是一种罕见疾病，此前在接受腹膜透析的终末期肾病患者中未见报道。真菌性腹膜炎的临床表现可能较为隐匿，因此需要高度怀疑，因为早期发现和治疗可能会降低死亡率和发病率。
