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No. 59 (PM 8)
The first case of Lecythophora hoffmanni peritonitis in Korea
Hunsuk Suh 1 MD, PhD, Jonghee Shin 2 MD,PhD
1. Laboratory medicine, Daegu Catholic University Hospital 2. Laboratory medicine, Jeonnam
University Hospital, Korea
The Lecythophora species are very rare pathogen to human reported as subcutaneous abscess, corneal
infection, endophthalmitis, sinusitis, peritonitis, and endocarditis, and cannot found the clinical case
especially caused by Lecythophora hoffmannii in Korea. So we introduce the first case of L. hoffmanni
peritonitis infection in Korea.
A 79-year-old female had a medical history of end stage of renal disease (ESRD) with continuous
ambulatory peritoneal dialysis (CAPD) was hospitalized for abdominal pain with diarrhea and anorexia
at June 2012. Initial WBC counts were 11.9 x 10 3 /uL, Hb was 11.1 g/dL, and platelet were 643 x 10 3 /uL.
ESR were 104 mm/hr and BUN and Cr were 61.8 and 6.6 mg/dL, respectively. The abdominal CT
showed sclerosing encapsulating peritonitis, so she treated by experience antibiotics. Cultures was done
with 7 peritoneal fluid samples from June 13 to July 16, same fungus was growth all samples. The rate
of growth is average 4 days at 30C. The colony morphology was smooth, moist to slimy yeast like, with
fuzzy. It shows yellow-orange to salmon pink colors. Reverse is yellow to orange. In microscopic, yeast
like conidia were significantly noted and a few hyaline, septated hyphae were seen. It was not identified
used by yeast card of VITEK II system (Biomerieux, French). So the 26S rRNA sequencing was done
and identified as Lecythophora hoffmannii.
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