Peritoneal dialysis (PD) catheter-related peritonitis from Aureobasidium pullulans caused by poor caregiver's hand hygiene

Tamonwan Chamroensakchai; Kesinee Leedumrongwattanakul; Kullaya Takkavatakarn; Wasin Manuprasert; Talerngsak Kanjanabuch

doi:10.1016/j.mmcr.2019.07.005

Peritoneal dialysis (PD) catheter-related peritonitis from Aureobasidium pullulans caused by poor caregiver's hand hygiene

Med Mycol Case Rep. 2019 Jul 30:25:35-38. doi: 10.1016/j.mmcr.2019.07.005. eCollection 2019 Sep.

Authors

Tamonwan Chamroensakchai^{1

2}, Kesinee Leedumrongwattanakul³, Kullaya Takkavatakarn⁴, Wasin Manuprasert², Talerngsak Kanjanabuch^{2

4

5}

Affiliations

¹ Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
² Center of Excellence in Kidney Metabolic Disorders, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
³ Division of Nephrology, Department of Medicine, Pranangklao Hospital, Nonthaburi, 11000, Thailand.
⁴ Division of Nephrology, King Chulalongkorn Memorial Hospital, Bangkok, 10330, Thailand.
⁵ CAPD Excellent Center, King Chulalongkorn Memorial Hospital, Bangkok, 10330, Thailand.

Abstract

Catheter-related peritonitis is common but rarely caused by fungal infection. We report the first case of PD patients with catheter-related peritonitis form Aureobasidium pullulans, a black yeast-like dematiaceous fungus, and reviewing the relevant literatures. A potential cause of this infection is poor hand hygiene and improper fingernail care. The infection could be prevented if patient and caregiver strictly follow hand-washing protocols.

Keywords: Aureobasidium; Catheter-related peritonitis; Fungal peritonitis; PD; Peritoneal dialysis.

Publication types

Case Reports