Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cloudy peritoneal dialysate: it's not always infection.

Isaac Teitelbaum1

  • 1Division of Renal Disease and Hypertension, Department of Internal Medicine, University of Colorado Health Sciences Center, Denver, Colo., USA.

Contributions to Nephrology
|May 25, 2006
PubMed
Summary

Cloudy peritoneal dialysate can stem from non-infectious causes beyond bacterial peritonitis. Identifying cellular or non-cellular constituents in the fluid aids diagnosis and treatment of aseptic causes.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Preserving Peritoneal Membrane Performance.

Clinical journal of the American Society of Nephrology : CJASN·2026
Same author

VExUS Point-of-Care Ultrasound Tool to Detect Changes in Volume Status: A Prospective Observational Study.

JACC. Advances·2026
Same author

Core Interventions for the Prevention of Peritoneal Dialysis-Related Infections.

Clinical journal of the American Society of Nephrology : CJASN·2025
Same author

Incremental start and clinical outcomes in peritoneal dialysis: International results from PDOPPS.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2025
Same author

Response to "Icodextrin lowers serum sodium in dose-dependent fashion: A case report" : Keep calm and continue Icodextrin.

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis·2025
Same author

International Society for Peritoneal Dialysis Journal Club: Bridging the Gap between Trainee Education and Home Dialysis Demand.

Clinical journal of the American Society of Nephrology : CJASN·2025

Area of Science:

  • Nephrology
  • Peritoneal Dialysis
  • Internal Medicine

Background:

  • Turbid peritoneal dialysate is often attributed to bacterial peritonitis.
  • However, non-infectious etiologies can also lead to cloudy dialysate fluid.

Purpose of the Study:

  • To review and synthesize the various non-infectious causes of cloudy dialysate fluid.
  • To provide an organizational scheme for diagnosing aseptic causes of dialysate turbidity.

Main Methods:

  • Literature review and synthesis of existing studies.

Main Results:

  • Cloudy dialysate can result from increased cellular components (polymorphonuclear leukocytes, eosinophils, red blood cells, monocytes, malignant cells) or non-cellular components (fibrin, triglycerides).

Related Experiment Videos

  • Non-cellular causes include lymphatic obstruction, pancreatitis, catheter trauma, dihydropyridine calcium channel blockers, and superior vena cava syndrome.
  • Increased leukocytes may indicate inflammation or drug-induced chemical peritonitis; increased eosinophils suggest intraperitoneal air or allergy.

    • Conclusions:

    • A diverse range of aseptic causes should be considered in the differential diagnosis of cloudy dialysate after ruling out infection.
    • Classifying turbidity based on cellular or non-cellular constituents aids in diagnosis and therapeutic interventions.