Fungal peritonitis of subacute evolution in a patient with a failed renal transplant. Case report

Authors

  • Rafael Enrique Cruz Abascal Hospital Clínico Quirúrgico Arnaldo Milián Castro
  • María Caridad Arbolaez Goicochea Hospital Clínico Quirúrgico Arnaldo Milián Castro
  • Yuniel González Cárdenas Hospital Clínico Quirúrgico Arnaldo Milián Castro
  • Lisbel Pérez Delgado Hospital Clínico Quirúrgico Arnaldo Milián Castro

Keywords:

kidney transplantation, renal insufficiency, chronic, peritonitis, mycoses

Abstract

It presents a female patient of the sixth decade of life, with a history of polycystic kidney disease and high blood pressure, which arrives at the chronic kidney disease stage V, so she was treated with continuous ambulatory peritoneal dialysis for two years. She received a kidney transplant from a cadaveric donor who required ablation a week after her implantation due to an intrarenal thrombosis. She was incorporated into therapy with periodic hemodialysis thereafter presented different episodes of bacterial infections in different locations that were resolved with antimicrobials according to the in vitro susceptibility of the isolated microorganisms. The presence of persistent fever in the absence of isolated pathogens in the usual means, including bacteria and viruses, involved the pertinence of cultivating the peritoneal fluid, which revealed the presence of Aspergillus spp. and, therefore, the diagnosis of fungal peritonitis.

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Author Biographies

Rafael Enrique Cruz Abascal, Hospital Clínico Quirúrgico Arnaldo Milián Castro

Especialista de II Grado en Nefrología. Máster en Enfermedades Infecciosas. Profesor Auxiliar de la Universidad de Ciencias Médicas de Villa Clara.  Investigador agregado.

María Caridad Arbolaez Goicochea, Hospital Clínico Quirúrgico Arnaldo Milián Castro

Especialista de I Grado en Medicina General Integral y en Microbiología. Máster en Atención Integral al Niño. Profesora Asistente de la Universidad de Ciencias Médicas de Villa Clara.

Yuniel González Cárdenas, Hospital Clínico Quirúrgico Arnaldo Milián Castro

Especialista de I Grado en Medicina General Integral y en Nefrología. Profesor Instructor de la Universidad de Ciencias Médicas de Villa Clara.

Lisbel Pérez Delgado, Hospital Clínico Quirúrgico Arnaldo Milián Castro

Especialista de I Grado en Medicina General Integral y en Nefrología. Profesora Instructora de la Universidad de Ciencias Médicas de Villa Clara.

References

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Published

2018-01-01

How to Cite

1.
Cruz Abascal RE, Arbolaez Goicochea MC, González Cárdenas Y, Pérez Delgado L. Fungal peritonitis of subacute evolution in a patient with a failed renal transplant. Case report. Acta Méd Centro [Internet]. 2018 Jan. 1 [cited 2025 Jul. 1];12(1):65-9. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/877

Issue

Vol. 12 No. 1 (2018): January-March

Section

Case Reports

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