Caregiver skin infection causing peritoneal dialysis-associated peritonitis

被引：0

作者：

Chieochanthanakij, Rutchanee ^{[1
]}

Wattanasatja, Veerapat ^{[2
]}

Passorn, Panthira ^{[1
]}

Wannigama, Dhammika Leshan ^{[3
,4
,5
,6
,7
,8
]}

Kanjanabuch, Talerngsak ^{[9
,10
,11
]}

机构：

[1] Sawanpracharak Hosp, Dept Internal Med, Nakhon Sawan 60000, Thailand

[2] Sunpasitthiprasong Hosp, Dept Internal Med, Ubon Ratchathani, Thailand

[3] Chulalongkorn Univ, King Chulalongkorn Mem Hosp, Thai Red Cross Soc, Dept Microbiol,Fac Med, Bangkok, Thailand

[4] Chulalongkorn Univ, Fac Med, Ctr Excellence Antimicrobial Resistance & Stewards, Bangkok, Thailand

[5] Yamagata Prefectural Cent Hosp, Dept Infect Dis & Infect Control, Yamagata, Japan

[6] Univ Western Australia, Sch Med, Fac Hlth Med Sci, Nedlands, WA, Australia

[7] Univ Sheffield, Biofilms & Antimicrobial Resistance Consortium ODA, Sheffield, England

[8] Yamagata Prefectural Cent Hosp, Dept Infect Dis & Infect Control, Pathogen Hunters Res Collaborat Team, Yamagata, Japan

[9] Chulalongkorn Univ, Fac Med, Ctr Excellence Kidney Metab Disorders, Bangkok, Thailand

[10] Chulalongkorn Univ, Fac Med, Dept Med, Div Nephrol, Bangkok 10330, Thailand

[11] King Chulalongkorn Mem Hosp, CAPD Excellence Ctr, Bangkok, Thailand

来源：

MEDICAL MYCOLOGY CASE REPORTS | 2024年 / 44卷

关键词：

Fungal peritonitis; Gibellulopsis nigrescens; Verticillium nigrescens; Peritoneal dialysis; Peritonitis; Scalp infection; VERTICILLIUM-NIGRESCENS;

D O I：

10.1016/j.mmcr.2024.100653

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

We present the first case report of peritoneal dialysis (PD)-associated peritonitis due to Gibellulopsis nigrescens, with the same pathogen detected in her caregiver's tinea capitis. This confirms that touch contamination from the caregiver's infection was the primary source of this rare organism. The species of pathogen causing peritonitis and her caregiver's scalp lesions were identified by DNA barcoding. The patient responded well to timely PD catheter removal and a 2-week course of systemic amphotericin B deoxycholate. Preventive strategies should prioritize hygiene practices, including maintaining adequate personal hygiene and practicing thorough hand washing, to mitigate the risk of touch contamination and subsequent infection with fungal pathogens.

引用

页数：4

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