FRANK X. O'SULLIVAN, M.D.; BRADLEY R. STUEWE, M.D.; JOSEPH M. LYNCH, M.D.; JOHN W. BRANDSBERG, Ph.D.; THOMAS B. WIEGMANN, M.D.; RAM V. PATAK, M.D.; WILLIAM G. BARNES, Ph.D.; GLENN R. HODGES, M.D.
Most organisms causing peritonitis in continuous ambulatory peritoneal dialysis are gram-positive bacteria (1). The frequency of isolating gram-negative bacteria increases with the number of episodes of peritonitis (1). Fungal or mycobacterial peritonitis is unusual. We describe a case of peritonitis caused by Drechslera spicifera occurring in a patient on continuous ambulatory peritoneal dialysis.
A 55-year-old man with polycystic kidney disease developed chronic renal insufficiency requiring hemodialysis in 1973. Continuous ambulatory peritoneal dialysis was initiated for lack of vascular access sites. The patient was admitted to the hospital with a 3- to 4-day history of fever, constipation, and abdominal pain. He
O'SULLIVAN FX, STUEWE BR, LYNCH JM, BRANDSBERG JW, WIEGMANN TB, PATAK RV, et al. Peritonitis Due to Drechslera spicifera Complicating Continuous Ambulatory Peritoneal Dialysis. Ann Intern Med. ;94:213–214. doi: 10.7326/0003-4819-94-2-213
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Published: Ann Intern Med. 1981;94(2):213-214.
Gastroenterology/Hepatology, Nephrology, Renal Replacement Therapy.
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