Fungal peritonitis in children treated with peritoneal dialysis and gastrostomy feeding |
| |
Authors: | Belinda Murugasu Susan B. Conley Jacques M. Lemire Ronald J. Portman |
| |
Affiliation: | (1) Department of Pediatrics, University of Texas Medical School, 6431 Fannin, 77030 Houston, TX, USA |
| |
Abstract: | Feeding gastrostomies were placed in three children treated with chronic peritoneal dialysis at our center because of persistent, severe malnutrition and inadequate growth. Two had frequent fungal infections of the gastrostomy site and all three developedCandida peritonitis which occurred at 1 month, 2 months and 2 years after insertion of gastrostomy. Complications included multiple intra-abdominal adhesions, abscess formation and loss of peritoneal function necessitating transfer to hemodialysis. The presence of a gastrostomy may predispose to the development of fungal peritonitis with its high morbidity and should be avoided in children on chronic peritoneal dialysis. |
| |
Keywords: | Fungal peritonitis Gastrostomy Peritoneal dialysis |
本文献已被 SpringerLink 等数据库收录! |