Peritonitis by Exophiala dermatitidis in a pediatric patient

Rosângela L. Pinheiro; Regielly C.R. Cognialli; Rodolfo C. Barros; Tyane de A. Pinto; Mariana F.M. Cunha; Tony T. Tahan; Morgana F. Voidaleski; Renata R. Gomes; Guilherme N. Becker; Lucas V. Andrade; Flavio Queiroz-Telles; G. Sybren de Hoog; Renata R. Sakiyama; Vânia A. Vicente

Medical Mycology Case Reports (Jun 2019)

Peritonitis by Exophiala dermatitidis in a pediatric patient

Rosângela L. Pinheiro,
Regielly C.R. Cognialli,
Rodolfo C. Barros,
Tyane de A. Pinto,
Mariana F.M. Cunha,
Tony T. Tahan,
Morgana F. Voidaleski,
Renata R. Gomes,
Guilherme N. Becker,
Lucas V. Andrade,
Flavio Queiroz-Telles,
G. Sybren de Hoog,
Renata R. Sakiyama,
Vânia A. Vicente

Affiliations

Rosângela L. Pinheiro: Laboratory of Mycology, Clinical Analysis Service Unit, Clinical Hospital Complex, Federal University of Paraná Curitiba, PR, Brazil
Regielly C.R. Cognialli: Laboratory of Mycology, Clinical Analysis Service Unit, Clinical Hospital Complex, Federal University of Paraná Curitiba, PR, Brazil
Rodolfo C. Barros: Laboratory of Mycology, Clinical Analysis Service Unit, Clinical Hospital Complex, Federal University of Paraná Curitiba, PR, Brazil
Tyane de A. Pinto: Department of Pediatrics, Pediatric Infectiology Service, Hospital Clinic Complex, Federal University of Paraná, Curitiba, PR, Brazil
Mariana F.M. Cunha: Department of Pediatrics, Pediatric Infectiology Service, Hospital Clinic Complex, Federal University of Paraná, Curitiba, PR, Brazil
Tony T. Tahan: Department of Pediatrics, Pediatric Infectiology Service, Hospital Clinic Complex, Federal University of Paraná, Curitiba, PR, Brazil
Morgana F. Voidaleski: Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil
Renata R. Gomes: Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil
Guilherme N. Becker: Bacteriology Division, Central Laboratory of Paraná State, São José dos Pinhais, PR, Brazil
Lucas V. Andrade: Medical College of the União das Faculdades dos Grandes Lagos, São José do Rio Preto, SP, Brazil
Flavio Queiroz-Telles: Laboratory of Mycology, Clinical Analysis Service Unit, Clinical Hospital Complex, Federal University of Paraná Curitiba, PR, Brazil; Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil
G. Sybren de Hoog: Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil; Westerdijk Fungal Biodiversity Institute, Utrecht, the Netherlands; Centre of Expertise in Mycology of Radboud University Medical Centre / Canisius Wilhelmina Hospital, Nijmegen, the Netherlands; Department of Dermatology and Venereology, Union Hospital, Tongji Medical College, Huazhong Science and Technology University, Jiefang Dadao 1277, Wuhan, Hubei, China
Renata R. Sakiyama: Department of Pediatrics, Pediatric Infectiology Service, Hospital Clinic Complex, Federal University of Paraná, Curitiba, PR, Brazil; Corresponding author.
Vânia A. Vicente: Microbiology, Parasitology and Pathology Post-graduation Program, Department of Basic Pathology, Federal University of Paraná, Curitiba, PR, Brazil; Corresponding author.

Journal volume & issue: Vol. 24
pp. 18 – 22

Abstract

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Fungal peritonitis is frequent on peritoneal dialysis, with rare cases by Exophiala dermatitidis. A 25-month-old female admitted to the pediatric ICU with acute renal failure was submitted to peritoneal dialysis. After 10 days patient presented fever. Peritoneal fluid culture showed yeast colonies molecularly identified as E. dermatitidis. Patient was treated with voriconazole and hemodialysis. The literature was reviewed. Disseminated infections are frequently fatal, but appropriate diagnose and therapeutic led to cure in this case. Keywords: Phaeohyphomycosis, Fungal infection, Dialysis, Therapeutic management, Molecular diagnosis

Published in Medical Mycology Case Reports

ISSN: 2211-7539 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General); Science: Biology (General)
Website: https://www.journals.elsevier.com/medical-mycology-case-reports/

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