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A 67 year-old male was admitted in the ICU because of multi-organ failure due to sepsis secondary to Fournier's gangrene. He had sustained radical prostatectomy in the last 48 hours. Peritoneal fluid and fatty tissue biopsies grew Aspergillus Fumigatus without concomitant pulmonary involvement. Postoperative acquisition via exogenous and endogenous routes is discussed, as this nosocomial entity is very rarely reported apart from peritoneal dialysis, especially in non-immunosuppressed patients.
Dotis J, Kondou A, Koukloumperi E, Karava V, Papadopoulou A, Gkogka C, Printza N. Aspergillus peritonitis in peritoneal dialysis patients: a systematic review. J Mycol Med. 2020;30(4): 101037.
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Jensen J, Guinea J, Torres-Narbona M, Munoz P, Pelaez T, Bouza E. Post-surgical invasive aspergillosis: an uncommon and under-appreciated entity. J Infect. 2010;60(2):162–7.
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Limon JJ, Skalski JH, Underhill DM. Commensal fungi in health and disease. Cell Host Microbe. 2017;22(2):156–65.
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Sartin JS, Wilhelm MP, Keating MR, Batts K, Krom RA. A case of Aspergillus fumigatus peritonitis complicating liver transplantation. Eur J Clin Microbiol Infect Dis. 1994;13(1):25–8.
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