First case of continuous ambulatory peritoneal dialysis peritonitis due to Candida sake
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Fungal peritonitis is a relatively uncommon complication of peritoneal dialysis that contributes significantly to morbidity, drop out from the continuous ambulatory peritoneal dialysis (CAPD) program, and mortality. Candida sake infections were rarely published in literature. We present the first case of peritonitis due to C. sake. A 41-year-old man was admitted to our hospital with abdominal pain, nausea, vomiting, fever, weakness. Abdominal ultrasonography demonstrated a fistula tract, which has an opening at inferolateral of the umbilicus extending 5 cm from the skin into the abdominal cavity with a foreign body (11 × 10 mm length) inside the fistula. The foreign body was removed by surgery being apparently a part of a previously inserted peritoneal catheter. Postoperative specimens revealed polymorph leucocytes and yeast cells in Gram stain, and culture on Sabouraud dextrose agar (SDA) yielded a growth of a fungus, subsequently identified as C. sake with Api ID 32C. Fluconazole (200 mg/day) therapy was started. He recovered after two weeks of therapy. In conclusion, C. sake, a rare type of Candida species, should be considered as a probable peritoneal pathogen in patients with multiple episodes of bacterial peritonitis, previous broad-spectrum antibiotic therapy and diabetes mellitus. © 2008 Blackwell Publishing Ltd.
Açıklama
Anahtar Kelimeler
Adult, Antifungal Agents, Candida, Candidiasis, Fluconazole, Humans, Male, Peritoneal Dialysis, Continuous Ambulatory, Peritonitis, Bacteria (microorganisms), Candida, Candida sake, Fistula, Fungi, amikacin, cilastatin plus imipenem, fluconazole, prednisolone, vancomycin, abdominal pain, adult, article, Candida sake, candidiasis, case report, catheter infection, chronic kidney failure, congestive heart failure, continuous ambulatory peritoneal dialysis, diabetes mellitus, echography, fever, foreign body, hemodialysis, human, hypertension, male, nausea, peritonitis, priority journal, tinnitus, vomiting, weakness
Kaynak
Mycoses
WoS Q Değeri
Scopus Q Değeri
Q1
Cilt
52
Sayı
3
