Paecilomyces lilacinus peritonitis complicating peritoneal dialysis cured by oral voriconazole and terbinafine combination therapy

J Med Microbiol. 2008 Dec;57(Pt 12):1581-1584. doi: 10.1099/jmm.0.2008/001149-0.

Abstract

Fungal peritonitis (FP) is a serious complication in patients on continuous ambulatory peritoneal dialysis (CAPD). We report a case of CAPD-related FP caused by Paecilomyces lilacinus in a 15-year-old uraemic boy. The infection was successfully treated by combination therapy consisting of oral voriconazole and terbinafine, which has not been previously reported in the treatment of FP.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adolescent
  • Antifungal Agents* / administration & dosage
  • Antifungal Agents* / therapeutic use
  • Drug Therapy, Combination
  • Humans
  • Male
  • Mycoses / drug therapy
  • Mycoses / microbiology
  • Naphthalenes* / administration & dosage
  • Naphthalenes* / therapeutic use
  • Paecilomyces / drug effects
  • Paecilomyces / isolation & purification*
  • Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
  • Peritonitis / drug therapy*
  • Peritonitis / microbiology
  • Pyrimidines* / administration & dosage
  • Pyrimidines* / therapeutic use
  • Terbinafine
  • Treatment Outcome
  • Triazoles* / administration & dosage
  • Triazoles* / therapeutic use
  • Voriconazole

Substances

  • Antifungal Agents
  • Naphthalenes
  • Pyrimidines
  • Triazoles
  • Terbinafine
  • Voriconazole