Turkish Journal of Nephrology, cilt.30, sa.1, ss.87-89, 2021 (SCI-Expanded)
© 2021 Turkish Society of Nephrology. All rights reserved.Refractory peritonitis is defined as failure of effluent clearance after five days of appropriate antibiotics in peritoneal dialysis patients. It is a reason for peritoneal dialysis failure. Although fungal and mycobacterial peritonitis are uncommon (approximately 15% of the cases), they are difficult to diagnose and treat. Herein, we report a case of peritonitis caused by two unusual pathogen, Candida guilliermondii and Mycobacterium avium complex, which probably reached the peritoneum via the vaginal route, in a long-term peritoneal dialysis patient with malnutrition. Rare organisms should be considered as causative agents in refractory peritonitis cases.