Cases reported "Peritonitis"

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1/9. Necrotizing bowel disease with candida peritonitis following severe neonatal hypothermia.

    peritonitis due to candida albicans is rare in the newborn infant. Three low birthweight, extremely ill premature infants who were severely hypothermic at the time of admission developed perforation of the gastrointestinal tract. C. albicans was cultured from the peritoneal fluid in each case. In view of the rareness of C. albicans peritonitis in newborns, this cluster of infants suggests a relationship between severe neonatal hypothermia, and bowel perforation with peritonitis due to this fungus.
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keywords = candida
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2/9. Treatment of peritonitis due to Curvularia and trichosporon with amphotericin b.

    Fungal infection is a rare cause of peritonitis among patients receiving continuous ambulatory peritoneal dialysis. Most cases of fungal peritonitis are secondary to candida infection. Two uncommon agents of fungal peritonitis are Curvularia species and trichosporon beigelii. We report on two patients receiving peritoneal dialysis who presented for medical evaluation within a 1-week period. Fungal culture of the dialysis catheter was positive for Curvularia species in one case and for T. beigelii in the other. Both patients probably had acquired their infections through environmental contamination. Successful treatment of these infections includes removal of the peritoneal dialysis catheter and administration of intravenous amphotericin b.
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keywords = candida
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3/9. Candida peritonitis-inefficacy of amphotericin-B and 5-fluorocytosine treatment.

    A 3 1/2 year old child with chronic renal failure twice developed severe candida peritonitis in the course of treatment with continuous ambulatory peritoneal dialysis. Medical treatment was unsuccessful but removal of the catheter led to immediate cure. This case documents a long held clinical impression that the best, if not the only way of treatment of candida peritonitis is removal of the indwelling catheter. Thus, potentially hazardous, painful and costly medical treatment can and should be avoided.
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keywords = candida
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4/9. Management of candida peritonitis in a CAPD patient by flucytosine therapy: importance of drug level monitoring in body fluids.

    A case of candida albicans peritonitis in a CAPD patient successfully treated with flucytosine is reported. flucytosine blood levels were monitored during intraperitoneal, intravenous and oral administration.
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keywords = candida
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5/9. Successful in situ treatment of a fungal peritonitis during CAPD.

    A case of candida peritonitis during continuous ambulatory peritoneal dialysis (CAPD) which recovered with intraperitoneal 5-fluorocytosine alone is reported. This seems to be the first case of fungal peritonitis during CAPD without removing the catheter to be described in the literature.
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keywords = candida
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6/9. Fragmentation of Celestin tube: a cause of fatal intestinal perforation.

    A singular case is described in which a pateint with a Celestin endoesophageal tube in place for 10 months died of complications from small bowel perforation resulting from disruption of the tube. The lower part of the tube lying within the stomach had deteriorated and become detached except for a single strand of nylon monofilament. This fragment passed into the small intestine, where it remained tethered at the level of the distal jejunum, acting first as an obscure cause of intermittent small bowel obstruction and later as the cause of jejunal perforation. In the patient who is a candidate for esophageal intubation and who has a life expectancy beyond 6 or 8 months, consideration should be given to using a device other than the Celestin tube. Whenever a Celestin appliance is used to palliate dysphagia, the intragastric part of the tube should be anchored to the stomach with multiple sutures.
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keywords = candida
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7/9. fluconazole in the treatment of candida peritonitis in continuous ambulatory peritoneal dialysis: report of a case.

    There are no generally accepted therapeutic regimens for the treatment of fungal peritonitis in patients with continuous ambulatory peritoneal dialysis (CAPD). We share our experience in the treatment of candida peritonitis using oral fluconazole. In CAPD patients with candida peritonitis, fluconazole seems to offer several advantages over other antifungal drugs.
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ranking = 1.5
keywords = candida
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8/9. Cytologic diagnosis of bile peritonitis.

    bile peritonitis (BP) is a rare but acute and serious condition that may be associated with high mortality. BP results from generalized or localized leakage of bile into the peritoneal cavity. At best, radiologic studies may be suggestive of BP. We observed a spectrum of cytologic findings in aspirated peritoneal fluids (PF) from 3 patients with BP. Occasional bile pigment-laden macrophages, extracellular lakes of green stringy material admixed with variable numbers of histiocytes, mesothelial cells, and acute and chronic inflammatory cells, were seen. Numerous candida were present in one case. To the best of our knowledge, this is the first report describing the cytologic features of BP. Cytology is a simple, rapid, and cost-effective means of examining PF, and can therefore play a significant role in establishing the diagnosis of BP. Early recognition of BP can result in rapid, therapeutic intervention that may prevent significant morbidity and mortality.
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keywords = candida
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9/9. Candida peritonitis complicating peritoneal dialysis: successful treatment with low dose amphotericin b therapy.

    Two patients undergoing peritoneal dialysis with permanent indwelling peritoneal catheters who developed candida albicans peritonitis are presented. Both patients were successfully treated with low dose intravenous amphotericin b. Sequential candida precipitin assays were performed and the diagnostic application is discussed.
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keywords = candida
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