A case of fungal peritonitis in a patient with paramalignant ascites

Autor: Julia M. Berger, Felix Lötsch, Anna S. Berghoff, Wolfgang W. Lamm, Matthias Preusser, Georg Jeryczynski
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Medical Mycology Case Reports, Vol 45, Iss , Pp 100660- (2024)
Druh dokumentu: article
ISSN: 2211-7539
DOI: 10.1016/j.mmcr.2024.100660
Popis: Here, we present the case of a patient with a metastatic neuroendocrine tumor with cytologically negative ascites treated for spontaneous bacterial peritonitis (SBP). Ascitic cultures remained negative for bacterial growth but were positive for Candida albicans 8 days after SBP diagnosis. ß-D-glucan was only positive in ascites, while being negative in blood. Blood cultures remained negative throughout the whole admission. Fungal peritonitis presumably originated from an impending bowl perforation or an increasing vascular permeability caused by an increase in VEGF secondary to diffuse infiltration by the underlying malignant disease.
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