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腹膜透析患者发生真菌性腹膜炎,病因是:一种人类感染中的罕见病原体。

Fungal peritonitis in a patient on peritoneal dialysis caused by : A rare pathogen in human infection.

作者信息

Mayra Estacio, Alberto Reino, Joaquin Rodelo, Jose Ustariz

机构信息

Facultad de Ciencias de la Salud Universidad de Antioquia, Medellin, Colombia.

Nephron, Medellin, Colombia.

出版信息

Med Mycol Case Rep. 2025 Mar 7;48:100699. doi: 10.1016/j.mmcr.2025.100699. eCollection 2025 Jun.

Abstract

Fungal peritonitis in peritoneal dialysis (PD) patients is rare but is associated with high morbidity and mortality. species are the most common causative agents, but infections caused by unusual, often "nonpathogenic," fungi are being increasingly reported. is typically associated with food spoilage and has rarely been reported in human infections. We describe the case of a 44-year-old female with end-stage renal disease on continuous ambulatory peritoneal dialysis (CAPD) who developed peritonitis caused by . Following the identification of the fungus, the patient was put on hemodialysis, the peritoneal dialysis catheter was removed, and he was given fluconazole for two weeks having favorable clinical development. 2012 Elsevier Ltd. All rights reserved.

摘要

腹膜透析(PD)患者的真菌性腹膜炎虽罕见,但与高发病率和死亡率相关。白色念珠菌属是最常见的病原体,但由不常见的、通常为“非致病性”真菌引起的感染报告日益增多。近平滑念珠菌通常与食物腐败有关,在人类感染中鲜有报道。我们描述了一例44岁终末期肾病女性患者,其在持续非卧床腹膜透析(CAPD)期间发生了近平滑念珠菌引起的腹膜炎。真菌鉴定后,患者改为血液透析,拔除腹膜透析导管,并给予氟康唑治疗两周,临床病情发展良好。©2012爱思唯尔有限公司。保留所有权利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bfa/11957606/2e33db57692a/gr1.jpg

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