SciELO - Scientific Electronic Library Online

vol.59 número4El método clínico y el carácter científico de la medicina clínicaNecrolisis tóxica epidérmica en cuidados intensivos índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




  • Não possue artigos citadosCitado por SciELO

Links relacionados

  • Não possue artigos similaresSimilares em SciELO


Revista Cubana de Medicina

versão impressa ISSN 0034-7523versão On-line ISSN 1561-302X


ALVAREZ GONZALEZ, Yanet  e  BOHORQUES RODRIGUEZ, Raúl. Fusarium peritonitis in a patient on home peritoneal dialysis. Rev cubana med [online]. 2020, vol.59, n.4, e1346.  Epub 15-Nov-2020. ISSN 0034-7523.


Fungal peritonitis is an infrequent but serious complication for a patient on home peritoneal dialysis.


To describe a case of fungal peritonitis in a patient on continuous ambulatory peritoneal dialysis (CAPD).


A 53-year-old male patient is reported, with a history of arterial hypertension, 9 years on continuous outpatient peritoneal dialysis, moderate protein-energy malnutrition. During his treatment, he had several episodes of bacterial peritonitis, exit-site infections, and repositioning of a peritoneal catheter with an extruded cuff. We worked with his antecedents, clinical status, etiological agent and treatment. The diagnosis was established by the presence of cloudy peritoneal fluid, cell count higher than 100 leukocytes / ul, and culture with the presence of the filamentous fungus.


In December 2017, he was diagnosed with fusarium peritonitis, with no leukocytosis or anemia, he did present hypoalbuminemia. A culture was performed on the wall of the room where the patient had his exchanges and filamentous fungus was found. Initially, treatment started with vancomycin and ceftazidime, followed by amikacin. Finally, after having a culture showed the pathogen, treatment with itraconazole started. Unfortunately the patient died 20 days later.


This research analyzes clinical and microbiological aspects of fusarium peritonitis, which are poorly understood in home peritoneal dialysis

Palavras-chave : fungal peritonitis; home peritoneal dialysis; rare complication.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )