Cloudy dialysate-reconsidering initial empiric therapy.

Abstract

Peritoneal fluid eosinophilia can be caused by many factors. It has been noted in helminthic infection or allergic diseases and can occur especially at the initiation of continuous ambulatory peritoneal dialysis (CAPD). We show the case of a 53-year-old woman undergoing CAPD who was initially treated for bacterial peritonitis with antibiotics. Finally, she revealed an eosinophilic peritonitis most probably due to an allergic reaction to the antibiotics. The importance of reconsidering your diagnosis and therapy in managing your patients is demonstrated by this case, which follows.