{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T02:05:59Z","timestamp":1783908359034,"version":"3.55.0"},"reference-count":20,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Peritoneal dialysis (PD) related peritonitis is usually caused by bacteria, but viruses and fungi could also affect the peritoneal membrane and cause cloudy effluent with negative bacterial cultures. We present a case of a PD patient who survived fungal peritonitis caused by\n                    <jats:italic>Geotrichum klebahnii<\/jats:italic>\n                    (March 2015) and COVID-19 pneumonia (April 2021) with peritonitis probably caused by the\n                    <jats:italic>SARS-CoV-2<\/jats:italic>\n                    virus. The fungal peritonitis followed one episode of exit-site infection and two episodes of bacterial peritonitis treated with a wide-spectrum antibiotic. The patient\u2019s PD catheter was removed immediately upon the diagnosis of fungal peritonitis, and an antifungal treatment was continued for 3 weeks after catheter removal. The new peritoneal catheter was reinserted 8 weeks after complete resolution of peritonitis, and the patient continued treatment with PD. The patient developed severe Covid-19 pneumonia with a sudden appearance of cloudy peritoneal effluent. There was no bacterial or fungal growth on the effluent culture. A PCR test for\n                    <jats:italic>SARS-CoV-2<\/jats:italic>\n                    in peritoneal effluent was not performed. The peritoneal effluent became transparent with the resolution of the severe symptoms of Covid-19 pneumonia.\n                  <\/jats:p>","DOI":"10.2478\/prilozi-2021-0035","type":"journal-article","created":{"date-parts":[[2022,1,15]],"date-time":"2022-01-15T10:58:04Z","timestamp":1642244284000},"page":"57-62","source":"Crossref","is-referenced-by-count":0,"title":["COVID 19 Pneumonia and a Rare Form of Fungal Peritonitis in a Patient Survivor on Peritoneal Dialysis"],"prefix":"10.2478","volume":"42","author":[{"given":"Pavlina","family":"Dzekova-Vidimliski","sequence":"first","affiliation":[{"name":"University Hospital of Nephrology , Skopje , Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vlatko","family":"Karanfilovski","sequence":"additional","affiliation":[{"name":"University Hospital of Nephrology , Skopje , Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Galina","family":"Severova","sequence":"additional","affiliation":[{"name":"University Hospital of Nephrology , Skopje , Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lada","family":"Trajceska","sequence":"additional","affiliation":[{"name":"University Hospital of Nephrology , Skopje , Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irena","family":"Rambabova-Bushljetik","sequence":"additional","affiliation":[{"name":"University Hospital of Nephrology , Skopje , Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor G.","family":"Nikolov","sequence":"additional","affiliation":[{"name":"University Hospital of Nephrology , Skopje , Republic of North Macedonia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2021,12,30]]},"reference":[{"key":"2026071211065933383_j_prilozi-2021-0035_ref_001","unstructured":"1. 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