Abstract
Fungal peritonitis is a rare serious complication most commonly observed in immunocompromised patients under peritoneal dialysis. Nevertheless, this clinical condition is more difficult to treat than bacterial peritonitis. Bacterial peritonitis followed by the use of antibiotics is the main risk factor for developing fungal peritonitis. Candida spp. are more frequently isolated, and the isolation of filamentous fungi is only occasional. Here we describe a case of Fusarium solani species complex peritonitis associated with bacterial peritonitis in a female kidney transplant recipient with previous history of nephrotic syndrome. The patient has had Enterobacter sp. endocarditis and was hypertensive and diabetic. Two sequential isolates of F. solani were recovered from cultures and identified with different molecular techniques. She was successfully treated with 50 mg daily amphotericin B for 4 weeks.
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References
Singh N, Gayowski T, Singh J, Yu VL. Invasive gastrointestinal zygomycosis in a liver transplant recipient: case report and review of zygomycosis in solid-organ transplant recipients. Clin Infect Dis. 1995;20(3):617–20.
Chaves GM, Terçarioli GR, Padovan AC, et al. Candida mesorugosa sp. nov., a novel yeast species similar to Candida rugosa, isolated from a tertiary hospital in Brazil. Med Mycol. 2013;51(3):231–42.
Casali AKL, Goulart LK, Rosa e Silva AM, et al. Molecular typing of clinical and environmental Cryptococcus neoformans isolates in the Brazilian state Rio Grande do Sul. FEMS Yeast Res. 2003;3:405–15.
Guarro J, Gams W, Pujol I, Gené J. Acremonium species: new emerging opportunists—in vitro antifungal susceptibilities and review. Clin Infect Dis. 1997;25(5):1222–9.
Oechsler RA, Yamanaka TM, Bispo PJ, et al. Fusarium keratitis in Brazil: genotyping, in vitro susceptibilities, and clinical outcomes. Clin Ophthalmol. 2013;7:1693–701.
Piraino B, Bailie GR, Bernardini J, et al. Peritoneal dialysis-related infections recommendations: 2005 update. Perit Dial Int. 2005;25(2):107–31.
Soll DR. The ins and outs of DNA fingerprinting the infectious fungi. Clin Microbiol Rev. 2000;13:332–70.
Acknowledgments
We are very grateful to Prof. Arnaldo Colombo for the facilities used for DNA sequencing and donation of F. solani ATCC 62877 control strain. We also would like to thank the Microbiologist of Onofre Lopes University Hospital Mrs. Fátima Vieira for helping with data collection and processing of the samples.
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All clinical and demographic data of the patient were collected In accordance with the Local Research Ethics committee from the Liga NorteRiograndense Contra o Câncer Hospital, approved under number 042/042/2012.
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The authors report no conflict of interest. This work had no grant or financial support.
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da Silva-Rocha, W.P., Zuza-Alves, D.L., de Azevedo Melo, A.S. et al. Fungal Peritonitis Due to Fusarium solani Species Complex Sequential Isolates Identified with DNA Sequencing in a Kidney Transplant Recipient in Brazil. Mycopathologia 180, 397–401 (2015). https://doi.org/10.1007/s11046-015-9929-7
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DOI: https://doi.org/10.1007/s11046-015-9929-7