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

Authors

  • Zhen Zhuang Department of Nephrology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
  • Yuehong Li Department of Nephrology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China https://orcid.org/0000-0002-1515-8543
  • Xianglan Wu Department of Nephrology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
  • Wei Wang Department of Nephrology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
  • Mingxia Cao Department of Nephrology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China
  • Nan Xiao Laboratory Medicine Department, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

DOI:

https://doi.org/10.3855/jidc.17679

Keywords:

Fungal peritonitis, Acremonium species, peritoneal dialysis, catheter

Abstract

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.

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Published

2023-11-30

How to Cite

1.
Zhuang Z, Li Y, Wu X, Wang W, Cao M, Xiao N (2023) Successful treatment of peritonitis caused by Acremonium species without catheter removal: Case report and literature review. J Infect Dev Ctries 17:1631–1635. doi: 10.3855/jidc.17679

Issue

Vol. 17 No. 11: November 2023

Section

Case Reports

License

Copyright (c) 2023 Zhen Zhuang, Yuehong Li, Xianglan Wu, Wei Wang, Mingxia Cao, Nan Xiao

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