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  • Title: Aspergillus oryzae peritonitis in CAPD: case report and review of the literature.
    Author: Schwetz I, Horina J, Buzina W, Roob J, Olschewski H, Krause R.
    Journal: Am J Kidney Dis; 2007 May; 49(5):701-4. PubMed ID: 17472853.
    Abstract:
    Fungal peritonitis is a rare, but serious, complication of continuous ambulatory peritoneal dialysis (CAPD). We report a case of peritonitis caused by Aspergillus oryzae in a man on CAPD therapy who was treated successfully with amphotericin B and caspofungin, followed by itraconazole and removal of the peritoneal catheter. A oryzae was identified by using sequence analysis of the ribosomal DNA genes. Of 10 reported cases since 2003, the mortality rate was 30%. Removal of the CAPD catheter and systemic antimycotic therapy are essential to achieve clinical cure in patients with fungal CAPD-related peritonitis.
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