Ahmad S, Johnson R J, Hillier S, Shelton W R, Rinaldi M G
J Clin Microbiol. 1985 Aug;22(2):182-6. doi: 10.1128/jcm.22.2.182-186.1985.
Fungal peritonitis caused by Lecythophora mutabilis, a mold rarely isolated from humans, is described. A patient on continuous peritoneal dialysis developed clinical, microbiological, and serological evidence for peritonitis due to this fungus. In vitro susceptibility testing of the fungus revealed marked differences in the activities of various antifungal agents. Although initially responding to treatment with oral ketoconazole, intraperitoneal miconazole, and catheter replacement, the patient had a documented relapse. The patient was eventually cured following the removal of a second catheter in association with prolonged imidazole treatment.
本文描述了由多变壶菌引起的真菌性腹膜炎，该霉菌很少从人类身上分离出来。一名接受持续腹膜透析的患者出现了该真菌引起腹膜炎的临床、微生物学和血清学证据。对该真菌的体外药敏试验显示，各种抗真菌药物的活性存在显著差异。尽管最初对口服酮康唑、腹腔内注射咪康唑和更换导管治疗有反应，但该患者有记录在案的复发情况。最终，在拔除第二根导管并延长咪唑治疗后，患者得以治愈。
