Fungal Peritonitis with Splenic-Pelvic Abscess in a Patient on Continuous Ambulatory Peritoneal Dialysis

Urizar, Rodrigo E.; Lepow, Martha L.; Neumann, Marianne; Pietrocola, Donna; Sarrafizadeh, Mohammad S.

doi:10.1177/089686089301300219

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…They found that endogenous peritonitis accounted for 7% of all episodes of peritonitis in their series (16/217 episodes) and that 38% (6/16) of those were due to fungal infections and required catheter removal (76). Fungal peritonitis with splenic-pelvic abscess in a patient on CAPD has also been reported (77).…”

Section: Pathogenesis and Portal Of Entry Of Organismsmentioning

confidence: 96%

Fungal Peritonitis in Peritoneal Dialysis Patients

2005

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Peritonitis is one of the most frequent complications of peritoneal dialysis (PD) and 1% – 15% of episodes are caused by fungal infections. The mortality rate of fungal peritonitis (FP) varies from 5% to 53%; failure to resume PD occurs in up to 40% of patients. The majority of these FP episodes are caused by Candida species. Candida albicans has historically been reported to be a more common cause than non-albicans Candida species, but in recent reports a shift has been observed and non-albicans Candida may now be more common. Unusual, often “nonpathogenic,” fungi are being increasingly reported as etiologic agents in FP. Clinical features of FP are not different from those of bacterial peritonitis. Phenotypic identification of fungi in clinical microbiology laboratories is often difficult and delayed. New molecular diagnostic techniques ( e.g., polymerase chain reaction) are being developed and evaluated, and may improve diagnosis and so facilitate early treatment of infected patients. Abdominal pain, abdominal pain with fever, and catheter left in situ are risk factors for mortality and technique failure in FP. In programs with high baseline rates of FP, nystatin prophylaxis may be beneficial. Each program must examine its own history of FP to decide whether prophylaxis would be beneficial. Catheter removal is indicated immediately after fungi are identified by Gram stain or culture in all patients with FP. Prolonged treatment with antifungal agents to determine response and attempt clearance is not encouraged. Antifungals should be continued for 10 days to 2 weeks after catheter removal. Attempts at reinsertion should be made only after waiting for 4 – 6 weeks.

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Section: Pathogenesis and Portal Of Entry Of Organismsmentioning

confidence: 96%

Fungal Peritonitis in Peritoneal Dialysis Patients

2005

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“…An abdominal abscess attributing to peritonitis was reported in 0.7% of peritonitis episodes 3 . In particular, a splenic abscess complicated with PD‐related peritonitis is a rare disease, with only two previous reports 4,5 . Splenic abscess itself is also rare, with a frequency between 0.2% and 0.7% reported in autopsy‐based studies 6 .…”

Section: Introductionmentioning

confidence: 99%

“…3 In particular, a splenic abscess complicated with PD-related peritonitis is a rare disease, with only two previous reports. 4,5 Splenic abscess itself is also rare, with a frequency between 0.2% and 0.7% reported in autopsy-based studies. 6 Its major etiologies include endocarditis or hematogeneous seeding such as intra-abdominal sepsis, chest infection, or osteomyelitis.…”

mentioning

confidence: 99%

Splenic abscess diagnosed following relapsing sterile peritonitis in a peritoneal dialysis patient: A case report with literature review

Masaki¹,

Matsushita

Inoue³

et al. 2021

Seminars in Dialysis

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Peritonitis is the most common complication leading to peritoneal dialysis (PD) withdrawal. 1 PD-related peritonitis usually resolves with antibiotic therapy. However, some cases become refractory to treatment. Some of these cases are accompanied by tunnel infection, intestinal perforation, or intraperitoneal abscesses. 2 An abdominal abscess attributing to peritonitis was reported in 0.7% of peritonitis episodes. 3 In particular, a splenic abscess complicated with PD-related peritonitis is a rare disease, with only two previous reports. 4,5 Splenic abscess itself is also rare, with a frequency between 0.2% and 0.7% reported in autopsy-based studies. 6 Its major etiologies include endocarditis or hematogeneous seeding such as intra-abdominal sepsis, chest infection, or osteomyelitis. 7

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Appendicitis and Pelvic Abscess

Kuhls¹

2009

Feigin and Cherry's Textbook of Pediatric Infectious Diseases

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Fungal Peritonitis with Splenic-Pelvic Abscess in a Patient on Continuous Ambulatory Peritoneal Dialysis

Cited by 3 publications

References 3 publications

Fungal Peritonitis in Peritoneal Dialysis Patients

Fungal Peritonitis in Peritoneal Dialysis Patients

Splenic abscess diagnosed following relapsing sterile peritonitis in a peritoneal dialysis patient: A case report with literature review

Appendicitis and Pelvic Abscess

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