CAPD Catheter Exit-Site and Tunnel Infection with Fungal Etiology—Treatment and Catheter Reinsertion for an Extremely Rare Complication. Issue 2 (March 2017)

• Record Type: Journal Article
• Authors: Jhawar, Manmeet Singh; Das, Jasmin; George, Pratish; Luther, Anil
• Is Part Of: Peritoneal dialysis international. Volume 37:Issue 2(2017)
• Page Start: 237
• Page End: 239
• Publication Date: 2017-03
• Subjects: ESI -- tunnel infection -- fungal infection -- continuous ambulatory peritoneal dialysis; Peritoneal dialysis -- Periodicals; Continuous ambulatory peritoneal dialysis -- Periodicals; 617.461059
• DOI: 10.3747/pdi.2016.00031
• Languages: English
• ISSNs: 0896-8608

Abstract

Fungal infection is an extremely rare etiology of exit-site and tunnel infection in patients on continuous ambulatory peritoneal dialysis (CAPD). There are few data available regarding its management—especially choice of antifungals, duration of therapy, and removal of catheter. There are no guidelines pertaining to reinsertion of the CAPD catheter following fungal exit-site and tunnel infection. This case report highlights Candida albicans as a rare cause of exit-site and tunnel infection of the CAPD catheter. The catheter was removed and the patient received appropriate antifungal therapy followed by reinsertion of the CAPD catheter and re-initiation on CAPD.