The second case of peritonitis due to <i>Histoplasma capsulatum</i> during continuous ambulatory peritoneal dialysis in Brazil

Lopes, Jorge O.; Alves, Sydney Hartz; Benevenga, J. P.; Rosa, Ana Claudia da

doi:10.1111/j.1439-0507.1994.tb00294.x

Cited by 13 publications

(5 citation statements)

References 6 publications

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“…Before 1980 only three small surveys of histoplasmin skin test were performed 6,10,11 and four cases of histoplasmosis were reported 1,5 or quoted 2 in natives of the State of Rio Grande do Sul. However, since 1981 thirty nine cases of the mycosis have been published 3,[7][8][9]12,14,16,[18][19][20][21][22][23][24] . In addition, in 1996 a histoplasmin skin test survey revealed 89 per cent of reactors amongst young men aged between 17 to 19 years of age, living in the Jacuí River valley 26 .…”

Section: Introductionmentioning

confidence: 99%

Histoplasmosis in Rio Grande do Sul, Brazil: a 21-year experience

Severo

Oliveira²,

Irion³

et al. 2001

Rev. Inst. Med. trop. S. Paulo

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Of 156 cases of histoplasmosis observed in the State of Rio Grande do Sul (Brazil), during a 21-year period (1978-1999) 137 were included in this study. Sixty-seven per cent of the patients had hematogeneous disseminated histoplasmosis, 24% had a self-limited syndrome (acute pulmonary histoplasmosis, histoplasmoma or primary pulmonary lymph node complex), and 9 per cent had chronic pulmonary histoplasmosis. Clinical, mycological, and epidemiological data were reviewed and commented.

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Section: Introductionmentioning

confidence: 99%

Histoplasmosis in Rio Grande do Sul, Brazil: a 21-year experience

Severo

Oliveira²,

Irion³

et al. 2001

Rev. Inst. Med. trop. S. Paulo

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“…Most cases were reported from endemic region of Histoplasma spp. or areas where there had been an outbreak of histoplasmosis, as follows: 4 cases from the United States [7][8][9][10], and 2 cases from Brazil [11,12]. The one case reported from Asia was reported from Hong Kong [13].…”

Section: Discussionmentioning

confidence: 99%

“… Reported year, country Age/ gender Duration of CAPD Previous BP (No.) Clinical presentation PD fluid analysis Catheter removal Treatment Reference 1 2018, USA 63/F 4 years Yes (2) Abdominal pain, fever WBC 2173 cells/mm 3 , 96% Ne No NA [ 7 ] 2 2012, USA 75/M > 2 years Yes (2) Abdominal pain, fever WBC 562 cells/mm 3 Yes ITZ for 1 year [ 8 ] 3 2010, USA 62/M 4 years No Abdominal pain, no fever WBC 180 cells/mm 3 , 41% Ne Yes ITZ for 6 months [ 9 ] 4 2006, USA 27/F NA NA Cloudy PD WBC 377 cells/mm 3 , 88% Ne Yes AmBD for 2 weeks and ITZ for 2 months [ 10 ] 5 1994, Brazil 64/F 4 months No (1) Abdominal pain, cloudy PD WBC 2133 cells/mm 3 , 95% Ne Yes AmBD, unknown duration [ 11 ] 6 1993, Brazil 50/F 2 years NA Abdominal pain, fever NA Yes AmBD, unknown duration [ 12 ] 7 1991, Hong Kong 46/M 2 years Yes (1) Abdominal pain, fever WBC 370 cells/mm 3 No FCZ, 5-FC, AmBD, unknow...…”

Section: Discussionmentioning

confidence: 99%

Continuous ambulatory peritoneal dialysis-associated Histoplasma capsulatum peritonitis: a case report and literature review

2020

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Background Fungal peritonitis (FP) is a rare complication of peritoneal dialysis. We herein describe the second case in Asia of Histoplasma capsulatum peritonitis associated with continuous ambulatory peritoneal dialysis (CAPD). Case presentation An 85-year-old woman with end-stage renal disease (ESRD) who had been on CAPD for 3 years and who had a history of 3 prior episodes of peritonitis presented with intermittent abdominal pain for 2 weeks and high-grade fever for 3 days. Elevated white blood cell (WBC) count and rare small oval budding yeasts were found in her peritoneal dialysis (PD) fluid. From this fluid, a white mold colony was observed macroscopically after 7 days of incubation, and numerous large, round with rough-walled tuberculate macroconidia along with small smooth-walled microconidia were observed microscopically upon tease slide preparation, which is consistent with H. capsulatum. The peritoneal dialysis (PD) catheter was then removed, and it also grew H. capsulatum after 20 days of incubation. The patient was switched from CAPD to hemodialysis. The patient was successfully treated with intravenous amphotericin B deoxycholate (AmBD) for 2 weeks, followed by oral itraconazole for 6 months with satisfactory result. The patient remains on hemodialysis and continues to be clinically stable. Conclusion H. capsulatum peritonitis is an extremely rare condition that is associated with high morbidity and mortality. Demonstration of small yeasts upon staining of PD fluid, and isolation of slow growing mold in the culture of clinical specimen should provide important clues for diagnosis of H. capsulatum peritonitis. Prompt removal of the PD catheter and empirical treatment with amphotericin B or itraconazole is recommended until the culture results are known.

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“…Peritonitis from disseminated disease can be acute or indolent, and is characterized by abdominal pain with or without ascites, fever, chills, and anorexia. CAPD peritonitis from H. capsulatum or Coccidioides species is characterized by fever, abdominal pain, abdominal distension, and cloudy dialysate fluid (200–2133 cells/mm 3 ) with a neutrophilic or eosinophilic predominance, respectively . An unusual manifestation of coccidioidal peritonitis is an enlarging inguinal hernia, which occurs in 30% .…”

Section: Discussionmentioning

confidence: 99%

Peritonitis caused by Blastomyces dermatitidis in a kidney transplant recipient: case report and literature review

Barocas

Gauthier

2014

Transplant Infectious Dis

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Blastomyces dermatitidis is a dimorphic fungus endemic to the midwestern, south-central, and southeastern United States known to cause disseminated infection in immunocompromised individuals. We report a case of B. dermatitidis peritonitis in a renal allograft recipient with new-onset ascites and cytomegalovirus encephalitis. Peritoneal blastomycosis is a rare clinical entity and, to our knowledge, this patient represents the first known case of peritoneal blastomycosis in a solid organ transplant recipient. We review the clinical characteristics of B. dermatitidis peritonitis as well as the literature on fungal peritonitis with emphasis on dimorphic fungal pathogens. Clinical features suggestive of fungal peritonitis include new-onset ascites, abdominal pain, and fevers, especially with antecedent or concomitant pneumonia. A high index of clinical suspicion, along with the use of culture and non-culture diagnostics, is needed for early diagnosis and prompt initiation of therapy.

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The second case of peritonitis due to Histoplasma capsulatum during continuous ambulatory peritoneal dialysis in Brazil

Cited by 13 publications

References 6 publications

Histoplasmosis in Rio Grande do Sul, Brazil: a 21-year experience

Histoplasmosis in Rio Grande do Sul, Brazil: a 21-year experience

Continuous ambulatory peritoneal dialysis-associated Histoplasma capsulatum peritonitis: a case report and literature review

Peritonitis caused by Blastomyces dermatitidis in a kidney transplant recipient: case report and literature review

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