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ePublished: 21 Dec 2015
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J Nephropharmacol. 2016;5(1): 61-62.
  Abstract View: 1209
  PDF Download: 924

Case Report

Curvularia lunata, a rare fungal peritonitis in continuous ambulatory peritoneal dialysis (CAPD); a rare case report

Haritha Subramanyam 1, Ramprasad Elumalai 1 * , Anupma Jyoti Kindo 2, Soundararajan Periasamy 1

1 Department of Nephrology, Sri Ramachandra Medical College and Hospital, Sri Ramachandra University, Chennai, India
2 Department of Microbiology, Sri Ramachandra Medical College and Hospital, Sri Ramachandra University, Chennai, India
*Corresponding author: Ramprasad Elumalai, ramprasadnephro@gmail.com

Abstract

Peritonitis is an inflammation of the peritoneum that occurs in patients with end-stage renal disease (ESRD) treated by peritoneal dialysis. Fungal peritonitis is a dreaded complication of peritoneal dialysis. Curvularia lunata is known to cause extra renal disease like endocarditis, secondary allergic bronchopulmonary aspergillosis and endophthalmitis. This case report presents a case of continuous ambulatory peritoneal dialysis peritonitis with this disease and its management. This case is of a 45-year-old man, presented with ESRD, secondary to diabetic nephropathy. After 3 months of hemodialysis the patient was put on continuous ambulatory peritoneal dialysis (CAPD). Local Examination at catheter site showed skin excoriation and purulent discharge. Further peritoneal dialysis (PD) fluid analysis showed neutrophilic leukocytosis and diagnosis of Curvularia lunata PD peritonitis.
Keywords: Continuous ambulatory peritoneal diagnosis, peritonitis, Curvularia lunata

Implication for health policy/practice/research/medical education:

Peritonitis is an inflammation of the peritoneum that occurs in patients with end-stage renal disease (ESRD) treated by peritoneal dialysis. Fungal peritonitis is a dreaded complication of peritoneal dialysis (PD). Curvularia lunata is known to cause extra renal disease like endocarditis, secondary allergic bronchopulmonary aspergillosis and endophthalmitis. This case report presents a case of continuous ambulatory peritoneal dialysis ( CAPD) peritonitis with this disease and its management.

Please cite this paper as: Subramanyam H, Elumalai R, Kindo AJ, Periasamy S. Curvularia lunata, a rare fungal peritonitis in continuous ambulatory peritoneal dialysis (CAPD); a rare case report. J Nephropharmacol. 2016;5(1):61-62.

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