Sardar Asjad, Thajudeen Bijin, Kadambi Pradeep V
Division of Nephrology, Department of Medicine, University of Arizona, Tucson, AZ, USA.
Department of Medicine, University of Florida College of Medicine-Jacksonville, Jacksonville, FL, USA.
Case Rep Nephrol. 2018 May 10;2018:8015230. doi: 10.1155/2018/8015230. eCollection 2018.
Bacterial peritonitis is a common complication of peritoneal dialysis, but fungal peritonitis is unusual and is mostly due to species. Peritonitis due to is rare and we report one such case. A 63-year-old female presented with progressively worsening abdominal pain, fever, and altered mental status. She had end-stage renal disease and had been on peritoneal dialysis for 4 years. She had abdominal tenderness without rebound or guarding. Laboratory studies and CT of abdomen were significant for leukocytosis and peritoneal membrane thickening, respectively. Peritoneal dialysis fluid study was consistent with peritonitis and culture of the fluid grew . Treatment recommendations include removal of catheter and initiation of antifungal therapy. With the availability of newer antifungals, medical management without removal of PD catheter is possible, but at the same time if there is no response to treatment within a week, PD catheter should be removed promptly.
细菌性腹膜炎是腹膜透析的常见并发症，但真菌性腹膜炎并不常见，主要由[具体菌种]引起。由[具体菌种]引起的腹膜炎罕见，我们报告一例此类病例。一名63岁女性出现腹痛逐渐加重、发热及精神状态改变。她患有终末期肾病，已接受腹膜透析4年。她有腹部压痛，无反跳痛或肌紧张。实验室检查和腹部CT分别显示白细胞增多和腹膜增厚。腹膜透析液检查符合腹膜炎表现，液体培养生长出[具体菌种]。治疗建议包括拔除导管并开始抗真菌治疗。随着新型抗真菌药物的出现，不拔除腹膜透析导管进行药物治疗是可行的，但同时如果一周内对治疗无反应，应及时拔除腹膜透析导管。
