TY - JOUR
T1 - Fatal Hormonema dematioides peritonitis in a patient on continuous ambulatory peritoneal dialysis
T2 - Criteria for organism identification and review of other known fungal etiologic agents
AU - Jong Hee Shin, Hee Shin
AU - Sang Ku Lee, Ku Lee
AU - Soon Pal Suh, Pal Suh
AU - Dong Wook Ryang, Wook Ryang
AU - Nam Ho Kim, Ho Kim
AU - Rinaldi, M. G.
AU - Sutton, D. A.
PY - 1998
Y1 - 1998
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0031809474&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031809474&partnerID=8YFLogxK
U2 - 10.1128/jcm.36.7.2157-2163.1998
DO - 10.1128/jcm.36.7.2157-2163.1998
M3 - Article
C2 - 9650991
AN - SCOPUS:0031809474
VL - 36
SP - 2157
EP - 2163
JO - Journal of Clinical Microbiology
JF - Journal of Clinical Microbiology
SN - 0095-1137
IS - 7
ER -