New techniques in CAPD connection and catheter implantation have been introduced to CAPD patient and may have contributed reduction of peritonitis incidence, but peritonitis is a frequent cause of morbidity and mortality during continuous
ambulatory
peritoneal dialysis9CAPD).
Although still uncommon, fungal peritonitis is gaining din importance because of its increasing frequency and its difficulty in management. Although Candidae are the commonest fungi isolated, other opportunistic pathogens have been reported as
well.
We experienced a case of Fusarium peritonitis combined with polymicrobial peritonitis during CAPD in a 36-year-old man. Fungus culture with peritoneal drainage fluid revealed rapidly growing(1-3 days) greyish, white-pink cottony colony in potato
dextrose agar at room temerature. There was light-yellow pigments on the reverse. Microscopically, elongated, multicelled (1-3 cells), sickle shaped macroconidia and small, oval to cylindrical microconidia was observed on wt smear, Gram stain and
lactophenol cotton blue stain, consistent with Fusarium species. So we report this case with a review of the literature.
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