ISSN 1941-5923


A spontaneous fungal peritonitis in a case with cryptogenic cirrhosis

Erkan Cure, Altug Senol, Onur Kaya, Cem Kockar, Yildiran Songur, Mehmet Isler

CaseRepClinPractRev 2007; 8:197-199

ID: 498170

Published: 2007-08-27

Background: Spontaneous bacterial peritonitis is one of the most common and severe complications of liver cirrhosis. Gram negative enteric pathogens are isolated in %80 of cases. Spontaneous fungal peritonitis is rarely seen in cirrhosis.
Case Report: A 62 years old woman was admitted to our clinic with complaints of fever, weakness, abdominal distention and pain, decrement in urine output and pain and hyperemia on her face. She has diabetes mellitus for 10 years and cryptogenic cirrhosis for 3 years. She has been using piperacillin tazobactam on admission. Spontaneous fungal peritonitis due to candida albicans was diagnosed and treated successfully by caspofungin in this case.
Conclusions: Spontaneous fungal peritonitis must be suspected in patients with cirrhosis especially who has been using wide spectrum antibiotic for a long time.

Keywords: peritonitis, Candida albicans, Liver Cirrhosis, Experimental