Year: 2021
Type: Article
Title: COVID 19 Pneumonia and a Rare Form of Fungal Peritonitis in a Patient Survivor on Peritoneal Dialysis
Author: Dzekova Vidimliski, Pavlina
Author: Karanfilovski, Vlatko
Author: Severova Andreevska, Galina
Author: Trajcheska, Lada
Author: Rambabova Bushljetic, Irena
Author: Nikolov, Igor
Abstract: Peritoneal dialysis (PD) related peritonitis is usually caused by bacteria, but viruses and fungi could also affect the peritoneal membrane and cause cloudy effluent with negative bacterial cultures. We present a case of a PD patient who survived fungal peritonitis caused by Geotrichum klebahnii (March 2015) and COVID-19 pneumonia (April 2021) with peritonitis probably caused by the SARS-CoV-2 virus. The fungal peritonitis followed one episode of exit-site infection and two episodes of bacterial peritonitis treated with a wide-spectrum antibiotic. The patient's PD catheter was removed immediately upon the diagnosis of fungal peritonitis, and an antifungal treatment was continued for 3 weeks after catheter removal. The new peritoneal catheter was reinserted 8 weeks after complete resolution of peritonitis, and the patient continued treatment with PD. The patient developed severe Covid-19 pneumonia with a sudden appearance of cloudy peritoneal effluent. There was no bacterial or fungal growth on the effluent culture. A PCR test for SARS-CoV-2 in peritoneal effluent was not performed. The peritoneal effluent became transparent with the resolution of the severe symptoms of Covid-19 pneumonia.
Publisher: Walter de Gruyter GmbH / Macedonian Academy of Sciences and Arts
Relation: Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)
Identifier: oai:repository.ukim.mk:20.500.12188/16970
Identifier: http://hdl.handle.net/20.500.12188/16970Identifier: 10.2478/prilozi-2021-0035
Identifier: https://www.sciendo.com/pdf/10.2478/prilozi-2021-0035Identifier: 42
Identifier: 3
Identifier: 57
Identifier: 62
