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Algal peritonitis complicating continuous ambulatory peritoneal dialysis
Authors:J P O'Connor  G R Nimmo  R J Rigby  J J Petrie  I R Hardie  R W Strong
Affiliation:1. Department of Microbiology, AHEPA University Hospital, Aristotle University of Thessaloniki, S. Kiriakidi 1, 546 36, Thessaloniki, Greece;2. Department of Microbiology, Medical School, University of Athens, Athens, Greece;3. Laboratory of Microbiology, Medical School, Aristotle University of Thessaloniki, Greece;4. Laboratory of Biological Chemistry, Medical School, Aristotle University of Thessaloniki, Greece;5. First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece;1. Department of Microbiology, AHEPA University Hospital, Aristotle University of Thessaloniki, S. Kiriakidi 1, 546 36 Thessaloniki, Greece;2. Department of Microbiology, Medical School, University of Athens, Athens, Greece;3. First Department of Internal Medicine, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece;4. First Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece;1. Jackson Health System, Miami, FL, USA;2. Florida International University, Epidemiology Department, Miami, FL, USA;3. University of Maryland School of Pharmacy, Baltimore, MD, USA;4. University of Miami Miller School of Medicine, Miami, FL, USA
Abstract:
A 41-year-old woman on continuous ambulatory peritoneal dialysis (CAPD) presented with algal peritonitis. Prototheca wickerhamii was isolated from multiple dialysate effluent cultures. Despite treatment with amphotericin B, catheter removal was required. An attempt to reinsert a Tenckhoff catheter 3 months later was unsuccessful because of dense intraperitoneal adhesions. Prototheca sp are a rare cause of human disease, this being the first reported case of algal peritonitis complicating CAPD.
Keywords:
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