ArticleCureus2024
Fungal Peritoneal Dialysis-Associated Peritonitis as a Silent Threat: The Critical Role of Early Diagnosis and Catheter Removal.
Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- Epidemiology, drug resistance, and clinical risk factors of peritoneal dialysis-associated peritonitis: a five-year multicenter study.Frontiers in cellular and infection microbiology · 2025Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fungal peritonitis is an uncommon but serious complication that can occur in patients undergoing peritoneal dialysis. It represents a small percentage of all peritonitis cases in these patients. Its diagnosis can be challenging due to the slow growth of fungi and frequent negative culture results. We report a case of fungal peritonitis in a 71-year-old man on automated peritoneal dialysis (APD). The patient presented with relapsing peritonitis unresponsive to antibiotics. During catheter removal, fungal hyphae were identified, confirming fungal peritonitis despite negative cultures. Prompt catheter removal and antifungal therapy with fluconazole led to infection resolution. The patient transitioned to hemodialysis. This case highlights the importance of early suspicion and intervention in fungal peritonitis. Prolonged antibiotics and recurrent infections should raise concern for fungal etiology, particularly in refractory cases. Early catheter removal, combined with targeted antifungal therapy, is critical to successful outcomes. Our findings emphasize the diagnostic challenges of fungal peritonitis and the need for advanced microbiological techniques and collaborative care between clinicians and microbiologists.
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