Annals of Clinical Microbiology, The official Journal of the Korean Society of Clinical Microbiology

6

Weeks in Review

2

Weeks to Publication
Indexed in KCI, KoreaMed, Synapse, DOAJ
Open Access, Peer Reviewed
pISSN 2288-0585 eISSN 2288-6850

A Case of Cryptococcal Peritonitis and Causative Organisms of Peritonitis in a Continuous Ambulatory Peritoneal Dialysis Patient

Case report

Annals of Clinical Microbiology (Ann Clin Microbiol) 2002 December Volume 5, Issue 2, pages 143-146.

A Case of Cryptococcal Peritonitis and Causative Organisms of Peritonitis in a Continuous Ambulatory Peritoneal Dialysis Patient

Hae Il Park, Kyu Taeg Yi, Jung Oak Kang, and Tae Y. Choi

Department of Laboratory Medicine, College of Medicine, Hanyang University, Seoul, Korea

Abstract

Peritonitis in patients on continuous ambulatory peritoneal dialysis (CAPD) remains a major problem. Peritonitis due to Cryptococcus neoformans is an unusual complication. A 68-year-old woman on prednisolone for Behcets disease and adrenal insufficiency was admitted with chronic renal failure and CAPD was initiated. During her stay in hospital, she was treated with multiple antibiotics for urinary tract infection and CAPD peritonitis with methicillin resistant Staphylococcus aureus (MRSA). She was deteriorated insidiously and C. neoformans was cultured in the dialysate but not in the blood, urine and stool. After three days, she died. We reviewed 385 organisms isolated from 1,325 peritoneal dialysate specimens between 1990 and 2002. Staphylococcus aureus was most frequently isolated (22.6%). Fungus comprises 10.1% of the isolated organisms. (Korean J Clin Microbiol 2002;5:143-146)

Keywords

Peritonitis, CAPD, Cryptococcus neoformans