Successful treatment of peritonitis caused by Acremonium species without catheter removal: Case report and literature review

Introduction: It is a rare case of continuous ambulatory peritoneal dialysis-related peritonitis associated with Acremonium sp. infection. Case presentation: Symptoms of Acremonium infection peritonitis are hidden and atypical, leucocytes in ascites are moderately elevated, and general bacterial...

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Main Authors: Zhen Zhuang, Yuehong Li, Xianglan Wu, Wei Wang, Mingxia Cao, Nan Xiao
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2023-11-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/17679
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Summary:Introduction: It is a rare case of continuous ambulatory peritoneal dialysis-related peritonitis associated with Acremonium sp. infection. Case presentation: Symptoms of Acremonium infection peritonitis are hidden and atypical, leucocytes in ascites are moderately elevated, and general bacterial culture difficulty obtains positive results. In this report, a patient with peritoneal dialysis-related peritonitis caused by Acremonium species was successfully treated without catheter removal in our hospital. The organism species was cultured from a catheter and PD effluent fluid. The patient’s peritonitis did not relapse within 6 months. Conclusions: Once a patient on peritoneal dialysis was infected with fungal peritonitis, the outcome was usually to remove the tube and stop peritoneal dialysis. In this case, our experience is that using a catheter-salvage therapy method, we can successfully cure PD-related peritonitis associated with Acremonium sp.
ISSN:1972-2680