Tapson J S, Mansy H, Freeman R, Wilkinson R
Department of Nephrology, Freeman Hospital, Newcastle upon Tyne.
Q J Med. 1986 Nov;61(235):1047-53.
Fungal infection is an uncommon cause of peritonitis in patients on continuous ambulatory peritoneal dialysis (CAPD). This report describes the clinical and microbiological features of 10 cases of fungal peritonitis. Although all patients survived, morbidity was high. Abscess and adhesion formation were particular problems. Only two patients were able to return to CAPD after microbiological cure. Currently available treatment strategies for fungal peritonitis are reviewed.
真菌感染是持续非卧床腹膜透析(CAPD)患者发生腹膜炎的罕见原因。本报告描述了10例真菌性腹膜炎患者的临床和微生物学特征。尽管所有患者均存活,但发病率很高。脓肿和粘连形成是特别突出的问题。微生物学治愈后,只有两名患者能够恢复CAPD治疗。本文对目前可用的真菌性腹膜炎治疗策略进行了综述。