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Peritonitis Due to Drechslera spicifera Complicating Continuous Ambulatory Peritoneal Dialysis

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.; and GLENN R. HODGES, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to Glenn R. Hodges, M.D.; Medical Service (111), Veterans Administration Medical Center, 4801 Linwood Boulevard; Kansas City, MO 64128.


Veterans Administration Medical Center; Kansas City, Missouri. University of Kansas College of Health Sciences; Kansas City, Kansas. Veterans Administration Medical Center; Leavenworth, Kansas.


Ann Intern Med. 1981;94(2):213-214. doi:10.7326/0003-4819-94-2-213
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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

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