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Titolo:
VERTICILLIUM PERITONITIS IN A PATIENT ON PERITONEAL-DIALYSIS
Autore:
AMICI G; GRANDESSO S; MOTTOLA A; VIRGA G; TEODORI T; MARESCA MC; BOCCI C;
Indirizzi:
TREVISO REG HOSP,DIV NEPHROL & DIALYSIS I-31100 TREVISO ITALY TREVISO REG HOSP,INST MICROBIOL TREVISO ITALY
Titolo Testata:
American journal of nephrology
fascicolo: 3, volume: 14, anno: 1994,
pagine: 216 - 219
SICI:
0250-8095(1994)14:3<216:VPIAPO>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
FUNGAL PERITONITIS; CAPD;
Keywords:
FUNGAL PERITONITIS; PERITONEAL DIALYSIS; VERTICILLIUM;
Tipo documento:
Note
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
G. Amici et al., "VERTICILLIUM PERITONITIS IN A PATIENT ON PERITONEAL-DIALYSIS", American journal of nephrology, 14(3), 1994, pp. 216-219

Abstract

We describe a case of peritonitis due to Verticillium spp. in a 33-year-old farmer on continuous ambulatory peritoneal dialysis (CAPD) for 3 months for endstage renal failure due to chronic pyelonephritis. Theetiologic agent was a hyaline hyphomycete which we report as a new human opportunistic pathogen. The fungus was isolated from the peritoneal fluid culture and from the tip of the catheter; identification was made on the basis of macroscopic and microscopic features. The patient had previously been admitted to our hospital for peritonitis caused bymixed enteric flora and treated for 8 days with intraperitoneal broad-spectrum antibiotic therapy. Five days after discharge he was readmitted for severe abdominal pain and cloudy drainage fluid. Two days of intraperitoneal broad-spectrum antimicrobial therapy produced no clinical improvement. Intravenous fluconazole and oral flucytosine were administered upon identifying the fungus. After another 2 days without improvement, peritoneal dialysis was discontinued and the catheter removed. Antimycotic therapy was continued for 4 days with complete resolution of the peritonitis. The patient chose to start hemodialysis and wasdischarged in good clinical condition.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 00:41:54