Fungal peritonitis complicating peritoneal dialysis.

causative organisms are usually bacteria(l). Fungi are uncommonly implicated, .being responsible for only 2-10% of all peritonitis episodes associated with PD(2). The majority of the published experience deals with fungal peritonitis in patients undergoing continuous ambulatory peritoneal dialysis, the incidence being 0.2 to 1.7 episodes per 12 patient months of dialysis(3). Fungal peritonitis, if not detected early and treated appropriately, is associated with increased morbidity (development of peritoneal adhesions and inability to resume PD) and mortality. We describe the case of a 21 month old girl with hemolytic uremic syndrome who needed multiple peritoneal dialysis and developed fungal peritonitis, which was not suspected antemortem.