Qadir M T, Cunha B A
Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501, USA.
Heart Lung. 1998 Jan-Feb;27(1):67-8. doi: 10.1016/s0147-9563(98)90072-3.
Infection is a common complication in patients who receive continuous ambulatory peritoneal dialysis (CAPD). Fungi causing peritonitis in these patients is less common compared with bacterial peritonitis. Fungal peritonitis accounts for less than 10% of cases in chronic CAPD, which usually follows either bacterial peritonitis or earlier exposure to broad-spectrum antibiotics. Most of these cases are caused by Candida albicans or other Candida species. There are only two case reports of Penicillium species peritonitis in patients with CAPD in the literature. We report the known third case of Penicillium species-related peritonitis in a patient receiving CAPD. The patient's condition improved dramatically after catheter removal.
感染是接受持续性非卧床腹膜透析(CAPD)患者的常见并发症。与细菌性腹膜炎相比,这些患者中由真菌引起的腹膜炎不太常见。真菌性腹膜炎在慢性CAPD病例中占比不到10%,通常继发于细菌性腹膜炎或早期使用广谱抗生素之后。这些病例大多由白色念珠菌或其他念珠菌属引起。文献中仅有两例关于CAPD患者青霉菌属腹膜炎的病例报告。我们报告了已知的第三例接受CAPD治疗的患者发生青霉菌属相关腹膜炎的病例。拔除导管后,患者病情显著改善。