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      Aspergillus Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients

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          Aspergillus peritonitis is a rare and serious cause of peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients. We report 3 cases of aspergillus peritonitis in CAPD which were successfully treated by catheter removal and amphotericin. Two of the 3 patients returned temporarily to CAPD, but were subsequently transferred to hemodialysis because of membrane failure. A novel finding in 2 of the 3 cases was a positive Limulus amebocyte lysate test, despite negative bacterial cultures. We discuss the possible relevance of this finding to the diagnosis of aspergillus infections and emphasize the importance of early catheter removal for successful treatment of this condition.

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          Most cited references 3

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          Uncommon causes of peritonitis in patients undergoing peritoneal dialysis

           D Arfania (1981)
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            Fulminating disseminated aspergillosis complicating peritoneal dialysis in eclampsia

             D. J. ROSS (1968)
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              • Abstract: not found
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              Successful treatment of Aspergillus peritonitis in a child undergoing continuous cycling peritoneal dialysis

               S. N. Kravitz (1986)

                Author and article information

                Am J Nephrol
                American Journal of Nephrology
                S. Karger AG
                August 2000
                01 September 2000
                : 20
                : 4
                : 329-331
                aDepartment of Nephrology, Soroka Hospital and Faculty of Health Sciences, Ben-Gurion University of the Negev, Beersheva, and bDepartment of Nephrology and Hypertension, Kaplan Medical Center, Rehovot, Israel
                13609 Am J Nephrol 2000;20:329–331
                © 2000 S. Karger AG, Basel

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                References: 23, Pages: 3
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