Fungal peritonitis due to Rhodotorula mucilaginosa in a patient with automated peritoneal dialysis. Literature review Peritonitis fúngica por Rhodotorula mucilaginosa en una paciente en diálisis peritoneal automatizada. Revisión de la literatura

Abstract

© 2016, Sociedad Chilena de Infectologia. All rights reserved. Fungal peritonitis is a major complication of peritoneal dialysis associated with high mortality. Most survivors have a high rate of abandonment of peritoneal dialysis. We report a case of fungal peritonitis due to an unusual agent. An 83 year-old woman, with a history of type 2 diabetes mellitus and multiple episodes of bacterial peritonitis associated to technical flaws in the implementation of automated peritoneal dialysis, was admitted due to abdominal pain and cloudy peritoneal fluid. Rhodotorula mucilaginosa was identified in the peritoneal fluid by MALDI-TOF. She was treated with catheter removal and oral posaconazole for 14 days showing clinical resolution and non-recurrence.