Treatment of Fusarium peritonitis in a peritoneal dialysis patient
Giacchino, F.; Belardi, P.; Merlino, C.; Aimino, M.; Garneri, G.; Cuffini, A.M.; Tullio, V.
Peritoneal Dialysis International Journal of the International Society for Peritoneal Dialysis 17(4): 403-404
1997
ISSN/ISBN: 0896-8608 PMID: 9284474 Document Number: 476474
A case is reported in a 62-year-old woman from Italy who was undergoing continuous ambulatory peritoneal dialysis, who developed fever, nausea, abdominal pain and cloudy dialysate fluid. Fever and abdominal pain increased despite antibiotic therapy and the peritoneal catheter was removed. Fusarium spp. was cultured from the catheter tip. Symptoms resolved after therapy with intravenous fluconazole (100 mg/day) and oral itraconazole (400 mg/day), changed to intravenous amphotericin B on alternate days (0.2 mg/kg gradually increased to 1 mg/kg) after Fusarium identification.