Grzybicze zapalenie otrzewnej spowodowane przez Asperillus flavus i Candida albicans — opis dwóch przypadków

Abstract

Fungal peritonitis is a relatively rare, diagnostically dif­ficult, and burdened with a high risk of death, compli­cation of peritoneal dialysis. The occurrence of this complication in most cases makes it impossible to continue treatment with peritoneal dialysis due to irre­versible changes in the peritoneal membrane. The di­agnostic difficulty is due to the fact that the identifica­tion of the fungus in dialysate takes time. In the case of very severe pain, cloudy dialysate, no improvement after empiric therapy, the dialysis catheter should be removed as soon as possible and antifungal therapy should be used. To the occurrence of fungal peritonitis predisposes previous treatment with broad-spectrum antibiotics and reduction of immunity. High mortality up to 53% of cases requires fast targeted treatment. The article presents descriptions of 2 cases.