Fungal peritonitis in patients on continuous ambulatory peritoneal dialysis.

Journal Article (Journal Article;Review)

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 treatment 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.

Full Text

Duke Authors

Cited Authors

  • Kerr, CM; Perfect, JR; Craven, PC; Jorgensen, JH; Drutz, DJ; Shelburne, JD; Gallis, HA; Gutman, RA

Published Date

  • September 1, 1983

Published In

Volume / Issue

  • 99 / 3

Start / End Page

  • 334 - 336

PubMed ID

  • 6351688

International Standard Serial Number (ISSN)

  • 0003-4819

Digital Object Identifier (DOI)

  • 10.7326/0003-4819-99-3-334


  • eng

Conference Location

  • United States