Article

Fungal peritonitis in peritoneal dialysis patients: Is previous antibiotic therapy an essential condition?

Department of Nephrology, Hospital Central do Funchal, Estrada dos Marmeleiros, Funchal, Portugal.
Mycoses (impact factor: 2.25). 02/2007; 50(1):79-81. DOI:10.1111/j.1439-0507.2006.01323.x pp.79-81
Source: PubMed

ABSTRACT The aim of this study was to analyse the clinical and microbiological features of fungal peritonitis, in chronic peritoneal dialysis patients, focusing on non-traditional risk factors for this feared complication. From 2001 to 2004, five episodes of fungal peritonitis were diagnosed in five different patients, accounting for 4.5% of all peritonitis cases seen during this period. Candida spp. were the most frequent isolates. In all cases, peritoneal dialysis catheter removal and switching to haemodialysis were necessary. In these five cases of fungal peritonitis only one was preceded by antibiotic use, within the previous 3 months, the classical risk factor for fungal peritonitis. Identifying predisposing factors usually not taken into account, may lead to an early diagnosis and to a better understanding of fungal peritonitis pathogenesis.

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Keywords

antibiotic use
 
Candida spp
 
cases
 
chronic peritoneal dialysis patients
 
classical risk factor
 
different patients
 
feared complication
 
five cases
 
fungal peritonitis
 
fungal peritonitis pathogenesis
 
microbiological features
 
non-traditional risk factors
 
peritoneal dialysis catheter removal
 
peritonitis cases
 
previous 3 months
 

Nuno Guimarães Rosa