Fungal Peritonitis Due to Fusarium solani Species Complex Sequential Isolates Identified with DNA Sequencing in a Kidney Transplant Recipient in Brazil
Autor: | Walicyranison Plinio Silva-Rocha, Analy Salles de Azevedo Melo, Guilherme Maranhão Chaves, Diana Luzia Zuza-Alves |
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Rok vydání: | 2015 |
Předmět: |
Adult
Fusarium medicine.medical_specialty medicine.drug_class Veterinary (miscellaneous) medicine.medical_treatment Bacterial Peritonitis Molecular Sequence Data Antibiotics Enterobacter Peritonitis Biology Applied Microbiology and Biotechnology Microbiology Peritoneal dialysis Medical microbiology Amphotericin B medicine Humans Endocarditis Gram-Positive Bacterial Infections Sequence Analysis DNA medicine.disease biology.organism_classification Kidney Transplantation Transplant Recipients Fusariosis Female Agronomy and Crop Science Brazil medicine.drug |
Zdroj: | Mycopathologia. 180:397-401 |
ISSN: | 1573-0832 0301-486X |
DOI: | 10.1007/s11046-015-9929-7 |
Popis: | Fungal peritonitis is a rare serious complication most commonly observed in immunocompromised patients under peritoneal dialysis. Nevertheless, this clinical condition is more difficult to treat than bacterial peritonitis. Bacterial peritonitis followed by the use of antibiotics is the main risk factor for developing fungal peritonitis. Candida spp. are more frequently isolated, and the isolation of filamentous fungi is only occasional. Here we describe a case of Fusarium solani species complex peritonitis associated with bacterial peritonitis in a female kidney transplant recipient with previous history of nephrotic syndrome. The patient has had Enterobacter sp. endocarditis and was hypertensive and diabetic. Two sequential isolates of F. solani were recovered from cultures and identified with different molecular techniques. She was successfully treated with 50 mg daily amphotericin B for 4 weeks. |
Databáze: | OpenAIRE |
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