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| CAPD 환자에서 발생한 진균성 복막염 |
| 황승덕 , 이희발 |
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| Abstract |
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We had encountered 7 episodes of fungal perito- nitis in 7 patients on CAPD representing 1 .7% of all peritonitis. Initial Gram stain of the drained dialysate ide- ntifed yeast-like cells in all patients and in 5 of these patients, yeast grew on culture. Initial presentation was characterized by high fever, severe abdominal pain and unresponsiveness to antibiotic therapy. The fungal peritonitis was controlled after removal of the indwelling Tenckhoff catheter and oral administration of Ketoconazole, 200 mg/day for 4 weeks. Three patients were able to resume CAPD after a period of 4 weeks during which time they were maintained on hemodialysis. Four patients preferred to remain on hemodialysis after the fungal peritonitis was controlled. Removal of the CAPD catheter and temporary discontinuation of CAPD are essential in treating fungal peritonitis. |
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