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Case Reports
. 2015 May-Jun;25(3):177-9.
doi: 10.4103/0971-4065.147377.

Successful catheter reinsertion in a case of Paecilomyces varioti peritonitis in a patient on continuous ambulatory peritoneal dialysis

S B Mandarapu  1 , K K Mukku  1 , S B Raju  1 , S Chandragiri  1
Affiliations
Case Reports

Successful catheter reinsertion in a case of Paecilomyces varioti peritonitis in a patient on continuous ambulatory peritoneal dialysis

S B Mandarapu et al. Indian J Nephrol. 2015 May-Jun.

Abstract

Peritonitis is one of the most common and important complications in patients on continuous ambulatory peritoneal dialysis (CAPD). Fungal peritonitis isreported in 4-8% of peritonitis episodes. Fungal peritonitis due to Paecilomyces species is not common. We report a case of CAPD peritonitis due to P. varioti. We immediately removed the CAPD catheter and IV amphotericin was administered for 4 weeks along with temporary hemodialytic support followed by successful catheter reinsertion.

Keywords: Amphotericin B; Paecilomyces varioti; continuous ambulatory peritoneal dialysis peritonitis; fungal peritonitis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Microscopic morphology of Paecilomyces varioti showing chains of single celled phialoconidia produced in basipetal succession from a phialide. phialides are swollen at their bases, gradually tapering towards their apices and may form a brush - like penicillus
See this image and copyright information in PMC

References

    1. Rubin J, Kirchner K, Walsh D, Green M, Bower J. Fungal peritonitis during continuous ambulatory peritoneal dialysis: A report of 17 cases. Am J Kidney Dis. 1987;10:361–8. - PubMed
    1. Marzec A, Heron LG, Pritchard RC, Butcher RH, Powell HR, Disney AP, et al. Paecilomyces variotii in peritoneal dialysate. J Clin Microbiol. 1993;31:2392–5. - PMC - PubMed
    1. Swartz RD. Chronic peritoneal dialysis: Mechanical and infectious complications. Nephron. 1985;40:29–37. - PubMed
    1. Chan TH, Koehler A, Li PK. Paecilomyces varioti peritonitis in patients on continuous ambulatory peritoneal dialysis. Am J Kidney Dis. 1996;27:138–42. - PubMed
    1. Pastor FJ, Guarro J. Clinical manifestations, treatment and outcome of Paecilomyces lilacinus infections. Clin Microbiol Infect. 2006;12:948–60. - PubMed

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