ABSTRACT
Blastobotrys proliferans is an ascomycetous yeast never previously reported as a human pathogen. Here we report a case of peritonitis due to Blastobotrys proliferans in a 46-year-old man undergoing peritoneal dialysis.
Subject(s)
Ascomycota/isolation & purification , Peritoneal Dialysis, Continuous Ambulatory/adverse effects , Peritonitis/microbiology , Ascomycota/classification , Humans , Male , Middle AgedSubject(s)
Kidney Failure, Chronic/surgery , Kidney Transplantation/physiology , Cadaver , France , Graft Survival , Humans , Kidney Failure, Chronic/epidemiology , Kidney Transplantation/mortality , Kidney Transplantation/statistics & numerical data , Melanesia , New Caledonia , Polynesia , Probability , Registries , Survival Rate , Tissue Donors , Treatment FailureABSTRACT
Two hundred and two renal biopsies from 181 patients in New Caledonia were classified into either primary glomerulonephritis or glomerulopathy associated with systemic disease. These were then compared with 670 similar biopsies from 634 in-patients at Sydney's Royal Prince Alfred Hospital (RPAH). The most prevalent primary glomerular disease among the New Caledonian cases was focal segmental glomerulosclerosis, compared with IgA disease among the RPAH cases. Mesangiocapillary glomerulonephritis, post-infectious glomerulonephritis and minimal lesion nephropathy were all relatively commoner among the New Caledonian biopsies, but the numbers were small. The most prevalent systemic glomerulopathy in the New Caledonian cases were amyloidosis. This was the least common among our RPAH group. Diabetes mellitus and lupus nephritis were also slightly more common in the New Caledonian group. Focal necrotizing/crescentic glomerulonephritis was unusual in the New Caledonian samples, while it was the most common systemic glomerulopathy among the RPAH group.
