Fungal peritonitis and malignancy: Report of two patients and review of the literature
β Scribed by Kopelson, Gene ;Silva-Hutner, Margarita ;Brown, James
- Publisher
- John Wiley and Sons
- Year
- 1979
- Tongue
- English
- Weight
- 851 KB
- Volume
- 6
- Category
- Article
- ISSN
- 0098-1532
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β¦ Synopsis
Abstract
Two patients developed isolated Candida albicans peritonitis in association with intraabdominal malignancy. Although additional factors predisposing to the development of fungal peritonitis were present, we postulate that tumorβrelated local factors permitted fungi to cross the gut wall and to enter the peritoneum, where the host immune status determined whether the infection spread. These two cases are the sixth and seventh reported cancer patients who developed fungal peritonitis, but the first two who had the fungal infection localized to the peritoneum; and this is the first report known to us specifically associating intraabdominal malignancy and fungal peritonitis. Patients who develop fungal peritonitis may have a primary or metastatic intraadbdominal malignancy, and fungi should be considered as a cause of peritonitis in cancer patients.
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Two patients with metastatic pheochromocytoma received chemotherapy with 5-fluorouracil, cyclophosphamide, and streptozotocin. A biochemical response occurred in one instance. A review of the literature and the results in the reported patients indicate cyclophosphamide and/or streptozotocin may have