Fatal Hormonema dematioides peritonitis in a patient on continuous ambulatory peritoneal dialysis: Criteria for organism identification and review of other known fungal etiologic agents

Hee Shin Jong Hee Shin, Ku Lee Sang Ku Lee, Pal Suh Soon Pal Suh, Wook Ryang Dong Wook Ryang, Ho Kim Nam Ho Kim, M. G. Rinaldi, D. A. Sutton

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

We report a fatal case a fungal peritonitis caused by the yeast-like dematiaceous mould Hormonema dematioides in a 45-year-old woman. The woman had a 13-year history of insulin-dependent diabetes mellitus and had been on continuous ambulatory peritoneal dialysis for chronic renal failure. H. dematioides was repeatedly isolated from the dialysate culture specimens collected on days 3, 9, 16, and 20 of her hospital stay. Preliminary culture reports on day 7 of the growth of a yeast-like fungus, a probable Candida species, prompted the administration of fluconazole (FLU). Intraperitoneal and intravenous FLU failed to eliminate the mould, and the patient expired on day 21 of her hospital stay. We use this case to present what appears to be the first report of fungal peritonitis due to H. dematioides, to provide laboratorians with criteria for differentiating this organism from the similar mould Aureobasidium pullulans and from various yeast genera, and to provide a review of known fungal taxa inciting peritonitis.

Original languageEnglish (US)
Pages (from-to)2157-2163
Number of pages7
JournalJournal of clinical microbiology
Volume36
Issue number7
DOIs
StatePublished - 1998

ASJC Scopus subject areas

  • Microbiology (medical)

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