Aspergillus peritonitis in peritoneal dialysis : case report and a review of the literature
Aspergillus peritonitis is a rare complication of continuous ambulatory peritoneal dialysis. The case is described of a 68-year-old man in whom Aspergillus fumigatus was isolated from the peritoneal dialysate after recurrent peritonitis with Gram-negative rods in association with diverticulosis. Tre...
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| Veröffentlicht in: | Nephrology, dialysis, transplantation dialysis, transplantation, 1995-01, Vol.10 (7), p.1240-1243 |
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| container_issue | 7 |
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| container_title | Nephrology, dialysis, transplantation |
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| creator | TANIS, B. C VERBURGH, C. A VAN'T WOUNT, J. W VAN DER PIJL, J. W |
| description | Aspergillus peritonitis is a rare complication of continuous ambulatory peritoneal dialysis. The case is described of a 68-year-old man in whom Aspergillus fumigatus was isolated from the peritoneal dialysate after recurrent peritonitis with Gram-negative rods in association with diverticulosis. Treatment consisting of removal of the catheter and intravenous administration of amphotericin B followed by oral itraconazole was successful. A review of the sparse literature (12 cases) displays uncertainties regarding diagnostic awareness, culture diagnosis, and therapeutic management. Next to institution of appropriate antifungal therapy, early removal of the peritoneal dialysis catheter is recommended, as delayed removal of the catheter appears to be associated with increased mortality and morbidity. |
| doi_str_mv | 10.1093/ndt/10.7.1240 |
| format | Article |
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Next to institution of appropriate antifungal therapy, early removal of the peritoneal dialysis catheter is recommended, as delayed removal of the catheter appears to be associated with increased mortality and morbidity.</description><identifier>ISSN: 0931-0509</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/10.7.1240</identifier><identifier>PMID: 7478133</identifier><identifier>CODEN: NDTREA</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>Administration, Oral ; Aged ; Amphotericin B - therapeutic use ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Aspergillosis - drug therapy ; Aspergillosis - etiology ; Biological and medical sciences ; Emergency and intensive care: metabolism and nutrition disorders. 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C</creatorcontrib><creatorcontrib>VERBURGH, C. A</creatorcontrib><creatorcontrib>VAN'T WOUNT, J. W</creatorcontrib><creatorcontrib>VAN DER PIJL, J. W</creatorcontrib><title>Aspergillus peritonitis in peritoneal dialysis : case report and a review of the literature</title><title>Nephrology, dialysis, transplantation</title><addtitle>Nephrol Dial Transplant</addtitle><description>Aspergillus peritonitis is a rare complication of continuous ambulatory peritoneal dialysis. The case is described of a 68-year-old man in whom Aspergillus fumigatus was isolated from the peritoneal dialysate after recurrent peritonitis with Gram-negative rods in association with diverticulosis. Treatment consisting of removal of the catheter and intravenous administration of amphotericin B followed by oral itraconazole was successful. A review of the sparse literature (12 cases) displays uncertainties regarding diagnostic awareness, culture diagnosis, and therapeutic management. Next to institution of appropriate antifungal therapy, early removal of the peritoneal dialysis catheter is recommended, as delayed removal of the catheter appears to be associated with increased mortality and morbidity.</description><subject>Administration, Oral</subject><subject>Aged</subject><subject>Amphotericin B - therapeutic use</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Aspergillosis - drug therapy</subject><subject>Aspergillosis - etiology</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</subject><subject>Humans</subject><subject>Infusions, Intravenous</subject><subject>Intensive care medicine</subject><subject>Itraconazole - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Peritoneal Dialysis, Continuous Ambulatory - adverse effects</subject><subject>Peritonitis - microbiology</subject><issn>0931-0509</issn><issn>1460-2385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1LxDAQxYMoun4cPQo5iLfuTj7atN5k8QsWvOjJQ0nTqUay7Zqkiv-9WbZ6mjfzfjyYR8g5gzmDSiz6Ni6SVnPGJeyRGZMFZFyU-T6ZJZ9lkEN1RI5D-ACAiit1SA6VVCUTYkZeb8IG_Zt1bgw0KRuH3kYbqO3_VtSOtla7n5DO19TogNTjZvCR6r6lOi1fFr_p0NH4jtTZiF7H0eMpOei0C3g2zRPycnf7vHzIVk_3j8ubVWYEUzHLQRXGCGMMB2O6SnBVQicLbNocuFasrUA1JfJCyq5sWsMA0o9QNRzLMq_ECbna5W788DliiPXaBoPO6R6HMdRK5VyAlAnMdqDxQwgeu3rj7Vr7n5pBvS2zTmVutaq3ZSb-YgoemzW2__TUXvIvJ18Ho13ndW9s-MdEwTgHKX4BQ3N89A</recordid><startdate>19950101</startdate><enddate>19950101</enddate><creator>TANIS, B. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Aspergillosis - drug therapy</topic><topic>Aspergillosis - etiology</topic><topic>Biological and medical sciences</topic><topic>Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition</topic><topic>Humans</topic><topic>Infusions, Intravenous</topic><topic>Intensive care medicine</topic><topic>Itraconazole - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Peritoneal Dialysis, Continuous Ambulatory - adverse effects</topic><topic>Peritonitis - microbiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TANIS, B. C</creatorcontrib><creatorcontrib>VERBURGH, C. A</creatorcontrib><creatorcontrib>VAN'T WOUNT, J. W</creatorcontrib><creatorcontrib>VAN DER PIJL, J. 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W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aspergillus peritonitis in peritoneal dialysis : case report and a review of the literature</atitle><jtitle>Nephrology, dialysis, transplantation</jtitle><addtitle>Nephrol Dial Transplant</addtitle><date>1995-01-01</date><risdate>1995</risdate><volume>10</volume><issue>7</issue><spage>1240</spage><epage>1243</epage><pages>1240-1243</pages><issn>0931-0509</issn><eissn>1460-2385</eissn><coden>NDTREA</coden><abstract>Aspergillus peritonitis is a rare complication of continuous ambulatory peritoneal dialysis. The case is described of a 68-year-old man in whom Aspergillus fumigatus was isolated from the peritoneal dialysate after recurrent peritonitis with Gram-negative rods in association with diverticulosis. Treatment consisting of removal of the catheter and intravenous administration of amphotericin B followed by oral itraconazole was successful. A review of the sparse literature (12 cases) displays uncertainties regarding diagnostic awareness, culture diagnosis, and therapeutic management. Next to institution of appropriate antifungal therapy, early removal of the peritoneal dialysis catheter is recommended, as delayed removal of the catheter appears to be associated with increased mortality and morbidity.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>7478133</pmid><doi>10.1093/ndt/10.7.1240</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0931-0509 |
| ispartof | Nephrology, dialysis, transplantation, 1995-01, Vol.10 (7), p.1240-1243 |
| issn | 0931-0509 1460-2385 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_77523044 |
| source | MEDLINE; Oxford Journals A-Z Collection |
| subjects | Administration, Oral Aged Amphotericin B - therapeutic use Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Aspergillosis - drug therapy Aspergillosis - etiology Biological and medical sciences Emergency and intensive care: metabolism and nutrition disorders. Enteral and parenteral nutrition Humans Infusions, Intravenous Intensive care medicine Itraconazole - therapeutic use Male Medical sciences Peritoneal Dialysis, Continuous Ambulatory - adverse effects Peritonitis - microbiology |
| title | Aspergillus peritonitis in peritoneal dialysis : case report and a review of the literature |
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