Korean Journal of Nephrology 2011;30(3):346-350.
A Case of Trichosoporon insectorum Peritonitis in a Continous Ambulatory Peritoneal Dialysis Patient
Miyeon Kim, M.D.1, Woo Seong Jeong, M.D.1, Hyun Woo Kim, M.D.1, Young Ree Kim, M.D.2, Keun-Hwa Lee, Ph.D.3 and Eun Hee Jang, M.D.1
Department of Internal Medicine1
Laboratory Medicine2 and Microbiology3
Jeju National University School of Medicine, Jeju, Korea
증례 : 지속적 외래 복막 투석 환자에서 발생한 Trichosporon insectorum 복막염
김미연1, 정우성1, 김현우1, 김영리2, 이근화3, 장은희1
제주대학교 의학전문대학원 내과학교실1 , 진단검사의학과교실2 , 미생물학교실3
CAPD peritonitis caused by Trichosporon species is uncommon. We report a case of peritonitis due to T. insectorum in a 38-year-old man who had undergone CAPD for about 1 year. He presented with abdominal pain. The clinical signs and analysis of peritoneal fluid were consistent with CAPD peritonitis. Patient deteriorated despite empirical antibiotics therapy. Repeated peritoneal culture revealed Trichosporon species. The peritonitis was treated with CAPD catheter removal and administering amphotericin B and fluconazole. We isolated T. insectorum by DNA sequencing method. We hereby report the first case of T. insectorum CAPD peritonitis.
Key Words: CAPD, Peritonitis, Trichosporon

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