Aspergillus Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients

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Abstract

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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Successful treatment of Aspergillus peritonitis in a child undergoing continuous cycling peritoneal dialysis

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Author and article information

Journal

Journal ID (publisher-id): AJN

Journal ID (nlm-ta): Am J Nephrol

Journal ID (doi): 10.1159/issn.0250-8095

Title: American Journal of Nephrology

Publisher: S. Karger AG

ISSN (Print): 0250-8095

ISSN (Electronic): 1421-9670

Publication date Subscription-year: 2000

Publication date (Print): August 2000

Publication date (Electronic): 01 September 2000

Volume: 20

Issue: 4

Pages: 329-331

Affiliations

^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

Article

Publisher ID: 13609 Other ID: Am J Nephrol 2000;20:329–331

DOI: 10.1159/000013609

PubMed ID: 10970988

SO-VID: f58d27ce-f5a1-49a9-a13e-6910a9889bf2

License:

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