Document Detail


Paecilomyces peritonitis: case report and review of the literature.
MedLine Citation:
PMID:  12708573     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
While filamentous fungi are a rare cause of peritonitis in peritoneal dialysis patients, there is increasing recognition of Paecilomyces species as pathogens in such patients. We herein report a case of fungal peritonitis secondary to the filamentous Paecilomyces variotii species. The patient had a long and ultimately fatal course of illness despite catheter removal, discontinuation of peritoneal dialysis, recurrent intraabdominal abscess drainage, and prolonged courses of antifungal therapy. Our experience with this case and a review of the literature suggests that infection with this fungus can cause substantial morbidity and is probably best treated with prompt catheter removal, aggressive antifungal therapy and vigilant observation for complications.
Authors:
K Wright; S Popli; V C Gandhi; J R Lentino; C V Reyes; D J Leehey
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical nephrology     Volume:  59     ISSN:  0301-0430     ISO Abbreviation:  Clin. Nephrol.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-23     Completed Date:  2003-07-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0364441     Medline TA:  Clin Nephrol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  305-10     Citation Subset:  IM    
Affiliation:
Veterans Affairs Hospital, Hines, Illinois 60141, USA.
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MeSH Terms
Descriptor/Qualifier:
Humans
Kidney Failure, Chronic / diagnosis,  microbiology,  therapy*
Male
Middle Aged
Mycoses / diagnosis,  etiology*,  microbiology
Paecilomyces / isolation & purification,  pathogenicity*
Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
Peritonitis / diagnosis,  etiology*,  microbiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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