Candida lusitaniae Peritonitis in a Chronic Ambulatory Peritoneal Dialysis Patient.

This is a case report of a 69 year-old African American female with end-stage renal disease secondary to hypertensive nephrosclerosis on chronic ambulatory peritoneal dialysis (CAPD) for five years. Her past was uneventful. She presented with symptoms and signs of acute peritonitis related to CAPD. There was initial response to antibiotics and culture was negative. The condition of the patient deteriorated despite the antibiotic. The peritoneal catheter was removed after five days of starting the antibiotic. The patient died at day seven of presentation due to septic shock and the culture eventually grew Candida lusitaniae, a rare agent of peritonitis in CAPD patients, which was resistant in vitro to amphotericin B.