ARLEN G. FLEISHER, M.D.; FRED KIMMELSTIEL, M.D.; CONRAD G. LATTES, M.D.; ROBERT E. MILLER, M.D.
FLEISHER AG, KIMMELSTIEL F, LATTES CG, MILLER RE. Fungal Peritonitis and Peritoneal Catheters. Ann Intern Med. 1985;102:138. doi: 10.7326/0003-4819-102-1-138_2
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Published: Ann Intern Med. 1985;102(1):138.
To the editor: Cecchine and Panarello (1) in differing with Kerr and coauthors (2) suggest that a protracted course with an appropriate agent may be useful for the treatment of patients with fungal peritonitis without necessitating removal of a permanent peritoneal catheter.
If not promptly treated, peritonitis, manifested by abdominal pain, tenderness, fever, cloudy dialysate, elevated leukocyte count in the dialysate, and positive dialysate cultures, remains a significant and potentially life-threatening complication. In many cases peritonitis can be successfully treated with intraperitoneal or intravenous plus intraperitoneal antibiotic agents.
Between 1980 and 1983, of 47 patients with peritonitis secondary to indwelling
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