诊断和治疗由曲霉菌感染引起的腹膜透析相关霉菌性腹膜炎

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Medical Mycology Case Reports Pub Date : 2024-05-01 DOI:10.1016/j.mmcr.2024.100651

Dan Zhang , Guofeng Mao , Meichun Liang , Guiqin Sun , Debao Yu

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引用次数: 0

摘要

曲霉菌腹膜炎是腹膜透析的一种罕见但非常严重的并发症，死亡率很高。我们报告了一例曲霉菌腹膜炎病例。尽管患者及早拔除导管并口服伏立康唑抗真菌治疗 3 周，但治疗效果并不理想，导致住院时间延长，影响了患者的生活质量。改用两性霉素 B 脂质体后，炎症指标迅速下降，感染得到控制。两性霉素 B 脂质体为治疗曲霉菌腹膜炎提供了一种选择。

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Diagnosis and treatment of peritoneal dialysis associated mycotic peritonitis caused by Aspergillus fumigatus infection

Aspergillus peritonitis is a rare but highly severe complication of peritoneal dialysis with a high mortality rate. We report a case of Aspergillus fumigatus peritonitis. Despite early removal of the catheter and oral voriconazole antifungal treatment for 3 weeks, the treatment effect was unsatisfactory, resulting in prolonged hospital stay and affecting the patient's quality of life. After switching to liposomalAmphotericin B, inflammation indicators rapidly decreased and infection was controlled. Liposomalamphotericin B provides an option for treatment of Aspergillus peritonitis.

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来源期刊

Medical Mycology Case Reports MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

47 days