Rectal Stenosis Associated with Fungal Peritonitis: A Complication of Continuous Ambulatory Peritoneal Dialysis

Uchida, Masaatsu K.; Sakemi, Takanobu; Nagano, Yoshiro; Mizuguchi, Masanobu

doi:10.1159/000185765

Cited by 7 publications

(7 citation statements)

References 1 publication

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“…Rarely, persistent fungal infection may result in erosion of a Tenckhoff catheter (49). Rectal stenosis is also described as a complication of FP (50).…”

Section: Clinical Features Of Fpmentioning

confidence: 99%

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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“…Rarely, persistent fungal infection may result in erosion of a Tenckhoff catheter (49). Rectal stenosis is also described as a complication of FP (50).…”

Section: Clinical Features Of Fpmentioning

confidence: 99%

Fungal Peritonitis in Peritoneal Dialysis Patients

2005

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“…12 Both current and prior episodes of pseudomonas as exit site infection predisposes to peritonitis. 2 It has been observed that 22% of CAPD patients with exit site infections with pseudomonas developed peritonitis after resolution of infection. 13 If exit site and tunnel are infected treatment involves catheter removal and simultaneous two anti pseudomonal antibiotics.…”

Section: Discussionmentioning

confidence: 99%

“…Fungal peritonitis can lead to complications like technique failure, sclerosing peritonitis, adhesions with resulting bowel obstruction or stricture, invasion of the bowel wall, and abscess formation resulting in inability to resume CAPD and reversal to haemodialysis. 1,2 Fungal peritonitis is most often caused by yeasts, with Candida species as the leading cause, responsible for 70%-90% of cases in adults and 80%-100% cases in paediatric population. Though filamentous fungi (moulds) are less common (10%), several of them have been reported in association with peritonitis.…”

Section: Introductionmentioning

confidence: 99%

Aspergillus niger peritonitis in a patient on continuous ambulatory peritoneal dialysis

Kalawat¹,

C²,

Chaudhury³

et al. 2013

JCSR

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Fungal peritonitis is an uncommon condition which is associated with high morbidity and mortality in patients on continuous ambulatory peritoneal dialysis (CAPD). It is associated with several complications and many of the patients who develop this condition are unable to resume CAPD treatment and have to shift to haemodialysis. Here we report the rare occurrence of fungal peritonitis due to Aspergillus niger in a patient on CAPD.

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“…Abscess and adhesion formation were particular problems. Only two patients were able to return to CAPD after microbiological cure [4]. Digenis et al also reported four cases of abdominal abscess complicating peritonitis [5].…”

Section: Encysted Fluid Collections After Catheter Removal For Peritomentioning

confidence: 99%

Encysted Fluid Collections after Catheter Removal for Peritonitis in Peritoneal Dialysis Patients

Elhassan¹,

Hummeida²,

Mahir³

et al. 2010

Arab J. Nephr. Trans

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Rectal Stenosis Associated with Fungal Peritonitis: A Complication of Continuous Ambulatory Peritoneal Dialysis

Cited by 7 publications

References 1 publication

Fungal Peritonitis in Peritoneal Dialysis Patients

Fungal Peritonitis in Peritoneal Dialysis Patients

Aspergillus niger peritonitis in a patient on continuous ambulatory peritoneal dialysis

Encysted Fluid Collections after Catheter Removal for Peritonitis in Peritoneal Dialysis Patients

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