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"Eosinophilic" peritonitis in continuous ambulatory peritoneal dialysis (CAPD)
Clinical Nephrology
|June 1, 1981
Summary
Eosinophilic peritonitis, characterized by high eosinophil counts in peritoneal dialysis fluid, can occur in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). This benign condition, likely allergic, does not require antibiotics.
Area of Science:
- Nephrology
- Immunology
- Infectious Diseases
Background:
- Continuous ambulatory peritoneal dialysis (CAPD) is a common treatment for end-stage renal disease.
- Peritonitis is a known complication of CAPD, typically bacterial or fungal.
Observation:
- Three CAPD patients presented with sterile peritonitis.
- Peritoneal dialysis fluid analysis revealed eosinophils as the predominant white blood cell type.
- No microbial pathogens were isolated despite repeated cultures.
Findings:
- The eosinophilic response occurred early in CAPD treatment.
- Patients were largely asymptomatic and experienced a benign clinical course.
- Antibiotic therapy was not required for these cases.
Implications:
- Eosinophilic peritonitis in CAPD patients may indicate an allergic reaction to dialysis system components.
- This condition appears to be self-limiting and does not necessitate antimicrobial treatment.
- Further investigation into dialysis fluid constituents is warranted to identify potential allergens.