0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Communications |

Fungal Peritonitis in Patients on Continuous Ambulatory Peritoneal Dialysis

CLARK M. KERR, M.D.; JOHN R. PERFECT, M.D.; PHILIP C. CRAVEN, M.D.; JAMES H. JORGENSEN, Ph.D.; DAVID J. DRUTZ, M.D.; JOHN D. SHELBURNE, M.D., Ph.D.; HARRY A. GALLIS, M.D.; and ROBERT A. GUTMAN, M.D.
[+] Article and Author Information

Grant Support: Financial support was received from the Clinicial Research Unit, Duke University Medical Center.

▸Requests for reprints should be addressed to John R. Perfect, M.D.; Box 3353, Duke University Medical Center; Durham, NC 27710.


Durham, North Carolina; and San Antonio, Texas


© 1983 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1983;99(3):334-337. doi:10.7326/0003-4819-99-3-334
Text Size: A A A

Fungal peritonitis is a rare complication in patients on continuous ambulatory peritoneal dialysis. We report five recent cases and their management. The fungi isolated were Candida albicans, C. parapsilosis, Exophiala jeanselmei, Drechslera spicifera, and a Fusarium species. Chemotherapy was attempted with various regimens including oral ketoconazole, intravenous or intraperitoneal amphotericin B, and oral flucytosine. Pharmacokinetic studies were done in two patients receiving treament with one of these drugs. Three patients were cured of their fungal infection. Three patients whose Tenckhoff catheters were left in situ died, whereas two patients whose catheters were removed survived. Our experience suggests that removal of the peritoneal catheter should be considered once the diagnosis of fungal peritonitis is established.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles
Prevention of peritoneal dialysis-related infections. Nephrol Dial Transplant Published online Oct 7, 2014.;
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)