Peritoneal penetration of amphotericin B lipid complex and fluconazole in a pediatric patient with fungal peritonitis.
Adv Perit Dial
; 14: 247-50, 1998.
Article
en En
| MEDLINE
| ID: mdl-10649734
ABSTRACT
Fungal peritonitis is a rare event in patients receiving peritoneal dialysis. This case report describes the blood and dialysate concentrations of fluconazole and amphotericin B following intravenous administration in a 5-month-old infant with Candida albicans peritonitis receiving continuous cyclic peritoneal dialysis. Fluconazole rapidly and efficiently penetrated the peritoneal fluid achieving concentrations that exceed the minimal inhibitory concentration (MIC) for most Candida species. In contrast, the amount of amphotericin B in the dialysate was below the limit of quantification despite measurable blood concentrations. This suggests that fluconazole represents a better choice for antifungal therapy because of its excellent peritoneal penetration.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Peritonitis
/
Fosfatidilcolinas
/
Fosfatidilgliceroles
/
Candidiasis
/
Líquido Ascítico
/
Fluconazol
/
Anfotericina B
/
Diálisis Peritoneal
/
Antifúngicos
Tipo de estudio:
Etiology_studies
Límite:
Humans
/
Infant
/
Male
Idioma:
En
Revista:
Adv Perit Dial
Asunto de la revista:
NEFROLOGIA
Año:
1998
Tipo del documento:
Article
País de afiliación:
Estados Unidos