An Unusual Association of Candida Guilliermondii and Mycobacterium Avium Complex in a Peritoneal Dialysis Patient with Refractory Peritonitis

Refractory peritonitis is defined as failure of effluent clearance after five days of appropriate antibiotics in peritoneal dialysis patients. It is a reason for peritoneal dialysis failure. Although fungal and mycobacterial peritonitis are uncommon (approximately 15% of the cases), they are difficult to diagnose and treat. Herein, we report a case of peritonitis caused by two unusual pathogen, Candida guilliermondii and Mycobacterium avium complex, which probably reached the peritoneum via the vaginal route, in a long-term peritoneal dialysis patient with malnutrition. Rare organisms should be considered as causative agents in refractory peritonitis cases. Keywords: Peritoneal dialysis, fungal peritonitis, mycobacterium avium peritonitis, candida guillermondii peritonitis, refractory peritonitis