皮炎外瓶霉导致的真菌性腹膜炎1例

摘要

Report a case of fungal peritonitis in CAPD patient caused by Exophiala dermatitidis.Ed mainly caused skin,subcutaneous tissue,central nervous infection,but rarely was found in human peritonitis infection.The analyzed of characteristic,molecule examination and antifungal susceptibilities of pathogen were carefully performed.The patient showed improved after CAPD was replaced by hemodialysis and oral itraconazole (0.2g/d) treatment.%报道1例由皮炎外瓶霉(Exophiala dermatitidis,Ed)导致的真菌性腹膜炎.此菌分离于1名长期腹膜透析患者的腹水.皮炎外瓶霉主要引起皮肤及皮下组织、中枢神经系统感染,引起腹膜炎者少见.现对此临床分离株进行真菌学分析、鉴定、药敏实验.患者经拔除透析管,改血液透析,同时抗真菌治疗,口服伊曲康唑0.2 g/d,症状明显改善.