An unusual case of Acanthamoeba peritonitis in a malnourished patient on continuous ambulatory peritoneal dialysis (CAPD)

  • Ragini Tilak Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005
  • R.G. Singh Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005
  • I.A. Wani Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005
  • A. Parekh Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005
  • J. Prakash Nephrology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005
  • Usha Usha Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221 005
Keywords: Continuous Ambulatory Peritoneal Dialysis (CAPD), Acanthamoeba, Peritonitis

Abstract

An unusual case of peritonitis in a 61-year-old patient is reported where culture for bacteria and fungi were negative. Acanthamoeba was isolated and the patient was treated with Ceftazidine, Cefazolin, Levofloxacin, Fluconazole and Rifampicin with regular haemodialytic support. The patient was completely cured of the infection and continuous ambulatory peritoneal dialysis (CAPD) fluid became clear after 2 weeks of treatment. Diagnosis and treatment of Acanthamoeba infections are difficult due to the rarity of the infections, lack of familiarity of most clinicians with disease syndromes, and limitations of therapeutics options. Even an experienced microbiologist can easily mistake the amoebae in ascitic fluid for peritoneal macrophages or lymphocytes.

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Published
2008-04-01
How to Cite
1.
Tilak R, Singh R, Wani I, Parekh A, Prakash J, Usha U (2008) An unusual case of Acanthamoeba peritonitis in a malnourished patient on continuous ambulatory peritoneal dialysis (CAPD). J Infect Dev Ctries 2:146-148. doi: 10.3855/jidc.288
Section
Case Reports