Missed Diagnosis of Aspergillus Niger Peritonitis in a Peritoneal Dialysis Patient with Standard Culture: Might Enriched Blood Culture Materials have an Advantage?
Küçük Resim Yok
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turk Nefroloji Diyaliz Transplantasyon Dergisi
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Peritonitis is a major complication of peritoneal dialysis (PD). Although bacteria are the most responsible pathogens, fungi can also be the cause of this condition. Candida species (spp.) are common agents in fungal peritonitis with a rate of 70% while Aspergillus spp. is rare. Aspergillus spp. can lead to severe life threatening peritonitis in PD patients. Early diagnosis is essential for a good outcome but it may be difficult to detect the pathogen. Our observation in this case supports the hypothesis that the enriched culture materials designed for detecting blood pathogens can provide an advantage for determining the cause of peritonitis in peritoneal fluid. Clinicians should remember this clue when managing peritonitis, especially in patients who are refractory to empiric antibiotic therapy.
Açıklama
Anahtar Kelimeler
Aspergillus Niger, Peritoneal Dialysis, Peritonitis, Enriched Blood Culture Materials, Invasive Aspergillosis, Fungal Peritonitis, Cross-Reactivity, Galactomannan, Disease
Kaynak
Turkish Nephrology Dialysis And Transplantation Journal
WoS Q Değeri
N/A
Scopus Q Değeri
N/A
Cilt
25
