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J Clin Microbiol. 1985 August; 22(2): 182-186

Fungal peritonitis caused by Lecythophora mutabilis.

ABSTRACT

Fungal peritonitis caused by Lecythophora mutabilis, a mold rarely isolated from humans, is described. A patient on continuous peritoneal dialysis developed clinical, microbiological, and serological evidence for peritonitis due to this fungus. In vitro susceptibility testing of the fungus revealed marked differences in the activities of various antifungal agents. Although initially responding to treatment with oral ketoconazole, intraperitoneal miconazole, and catheter replacement, the patient had a documented relapse. The patient was eventually cured following the removal of a second catheter in association with prolonged imidazole treatment.

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• Shin, J. H., Lee, S. K., Suh, S. P., Ryang, D. W., Kim, N. H., Rinaldi, M. G., Sutton, D. A. (1998). Fatal Hormonema dematioides Peritonitis in a Patient on Continuous Ambulatory Peritoneal Dialysis: Criteria for Organism Identification and Review of Other Known Fungal Etiologic Agents. J. Clin. Microbiol. 36: 2157-2163 [Abstract] [Full Text]