Case Reports in Gastroenterology · Published 2025-09-12 · DOI 10.1159/000547976
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.
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