Open AccessZygomycetes peritonitis in ambulatory peritoneal dialysis: Case report and review of literature
Author(s) -
Manish Rathi,
Upal Sengupta,
TD Yadav,
Santosh Kumar
Publication year - 2014
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.133028
Subject(s) - medicine , peritonitis , laparotomy , zygomycosis , continuous ambulatory peritoneal dialysis , surgery , amphotericin b , ascites , abdomen , antifungal , dermatology
We present a case of CAPD peritonitis caused by zygomycetes infection. A 46-year-old male patient presented with refractory peritonitis requiring catheter removal. He had persistence of fever and an ultrasonography abdomen done revealed loculated collections. An initial pigtail drainage followed by open laparotomy was performed. Intra-operative peritoneal and omental biopsy revealed large areas of necrosis with broad aseptate fungal hyphae consistent with zygomycosis. He was managed with 3 gm of intravenous amphotericin and is doing well at 6 months of follow-up.