2016, Cilt 25, Sayı 0, Sayfa(lar) 148-151
Missed Diagnosis of Aspergillus Niger Peritonitis in a Peritoneal Dialysis Patient with Standard Culture: Might Enriched Blood Culture Materials have an Advantage?
DOI 10.5262/tndt.2016.35
İlhan KURULTAK1, Mevlüt ÇERİ2, Kenan ARICAN3, Can KİNALP4, Salih CESUR5, T. Rıfkı EVRENKAYA4
1Trakya University Faculty of Medicine, Department of Nephrology, Edirne, Turkey
2Pamukkale University Faculty of Medicine, Department of Nephrology, Denizli, Turkey
3Haydarpaşa GATA Training Hospital, Department of Infectious Diseases, İstanbul, Turkey
4Haydarpaşa GATA Training Hospital, Department of Nephrology, İstanbul, Turkey
5Ankara Training and Research Hospital, Department of Infectious Diseases, Ankara, Turkey
Keywords: Aspergillus niger, Peritoneal dialysis, Peritonitis, Enriched blood culture materials

Peritonitis is a major complication of peritoneal dialysis (PD). Although bacteria are the most responsible pathogens, fungi can also be the cause of this condition. Candida species (spp.) are common agents in fungal peritonitis with a rate of 70% while Aspergillus spp. is rare. Aspergillus spp. can lead to severe life threatening peritonitis in PD patients. Early diagnosis is essential for a good outcome but it may be difficult to detect the pathogen. Our observation in this case supports the hypothesis that the enriched culture materials designed for detecting blood pathogens can provide an advantage for determining the cause of peritonitis in peritoneal fluid. Clinicians should remember this clue when managing peritonitis, especially in patients who are refractory to empiric antibiotic therapy.

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