Penicillium peritonitis in an adolescent receiving chronic peritoneal dialysis

A 19-year-old female on chronic peritoneal dialysis developed acute periton itis; multiple peritoneal fluid and catheter tip cultures yielded Penicilli um species. She promptly responded to catheter removal and intravenous amph otericin B, followed by oral fluconazole, without further recurrences 1 yea r later. This is the first reported case of Penicillium peritonitis in the pediatric population. We review the microbiology and clinical spectrum of t his disease, as well as the few previous reported cases in adults.