Case Report Exit site infection due to Zygomycosis resulting in abdominal wall necrosis in a continuous ambulatory peritoneal dialysis patient

exit site infection; zygomycosis A 52-year-old gentleman, type 2 diabetic and hypertensive was initiated on continuous ambulatory peritoneal dialysis (CAPD) in August 2004. He was partially blind in both eyes owing to diabetic retinopathy. He had also been confined to bed for the past 2 months, due to severe sensorimotor peripheral neuropathy. His wife and son were perform-ing the exchanges, three per day with 2.5 % dextrose solution of Dianeal (Baxter India Pvt Ltd, New Delhi). He had Kt/V of 1.8 per week and a urine output of 350–500ml/day. He had suffered an episode of peritonitis in September 2005. Methicillin-sensitive coagulase negative staphylococci was identified at that time. He was injected with vancomycin 1 g I