The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2008;75(6):714-717.
지속성 외래 복막투석 환자에서 발생한 Trichosporon asahii 에 의한 복막염
김재석, 양재원, 김민수, 한승태, 어 영, 한병근, 최승옥
Peritonitis due to Trichosporon asahii in a continuous ambulatory peritoneal dialysis patient
Jae Seok Kim, Jae Won Yang, Min Soo Kim, Seung Tae Han, Young Uh, Byoung Geun Han, Seung Ok Choi
경희대학교 의과대학 순환기내과학교실


Abstract
Fungal peritonitis is an important cause of intractable peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients. Candida species are the most common cause of fungal peritonitis, while Trichosporon asahii is rarely reported. Here, we report a case of peritonitis due to T. asahii in a 44-year-old woman who had undergone CAPD for 8 years. She was admitted to our hospital with diarrhea and fever. The clinical findings and analysis of the peritoneal fluid were consistent with peritonitis, and a culture of the peritoneal fluid revealed T. asahii. The peritonitis was treated by removing the peritoneal catheter and administering amphotericin B and fluconazole. T. asahii peritonitis is rare, but it should be considered as one of the important organism in fungal peritonitis in a CAPD patient. (Korean J Med 75:714-717, 2008)

Keywords :Fungal peritonitis, CAPD, Trichosporon asahii
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