3.8 Article

Peritonitis by Exophiala dermatitidis in a pediatric patient

Journal

MEDICAL MYCOLOGY CASE REPORTS
Volume 24, Issue -, Pages 18-22

Publisher

ELSEVIER SCIENCE BV
DOI: 10.1016/j.mmcr.2019.02.001

Keywords

Phaeohyphomycosis; Fungal infection; Dialysis; Therapeutic management; Molecular diagnosis

Funding

  1. Brazilian Federal Agency for Support and Evaluation of Graduate: Education Coordination for the Improvement of Higher Education Personnel-CAPES
  2. National Counsel of Technological and Scientific Development, Brasilia, Brazil

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Fungal peritonitis is frequent on peritoneal dialysis, with rare cases by Exophiala dermatitidis. A 25-month-old female admitted to the pediatric ICU with acute renal failure was submitted to peritoneal dialysis. After 10 days patient presented fever. Peritoneal fluid culture showed yeast colonies molecularly identified as E. dermatitidis. Patient was treated with voriconazole and hemodialysis. The literature was reviewed. Disseminated infections are frequently fatal, but appropriate diagnose and therapeutic led to cure in this case.

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