Breaking T-cell tolerance to fight multiple myeloma.

INTRODUCTION

Spontaneous fungal peritonitis is a less common yet serious complication of liver cirrhosis with high mortality rates. Awareness of spontaneous fungal peritonitis may improve patient outcomes by increasing early identification and treatment.

CASE PRESENTATION: We present a case of a 66-year-old female who was admitted to an Australian tertiary hospital with abdominal tenderness and distension on a background of Child-Pugh C liver cirrhosis secondary to increased alcohol intake. Ascitic fluid culture identified the fungus Candida tropicalis as the causative pathogen of spontaneous fungal peritonitis.

CONCLUSION

We outline appropriate investigations, and management in treating C. tropicalis spontaneous fungal peritonitis, a rare pathogen in spontaneous peritonitis complicating cirrhosis.