Candida tropicalis Spontaneous Fungal Peritonitis in a Patient with Liver Cirrhosis: A Case Report.

Introduction: Spontaneous fungal peritonitis is a less common yet serious complication of liver cirrhosis with high mortality rates. Awareness of spontaneous fungal peritonitis may improve patient outcomes by increasing early identification and treatment. Case Presentation: We present a case of a 66-year-old female who was admitted to an Australian tertiary hospital with abdominal tenderness and distension on a background of Child-Pugh C liver cirrhosis secondary to increased alcohol intake. Ascitic fluid culture identified the fungus Candida tropicalis as the causative pathogen of spontaneous fungal peritonitis. Conclusion: We outline appropriate investigations, and management in treating C. tropicalis spontaneous fungal peritonitis, a rare pathogen in spontaneous peritonitis complicating cirrhosis.