Intraperitoneal hydrocortisone in eosinophilic peritonitis associated with continuous ambulatory peritoneal dialysis

Abstract

Eosinophilic peritonitis occurs in a small but notable number of cases of culture-negative peritonitis in patients treated with continuous ambulatory peritoneal dialysis. The diagnostic feature is a high eosinophil count in the effluent dialysate which is often associated with peripheral eosinophilia. The incidence of this condition has risen recently as differential white cell counts of the dialysate are routinely performed in investigating culture-negative peritonitis in patients undergoing continuous ambulatory peritoneal dialysis. We report such a case which responded promptly to treatment with intraperitoneal hydrocortisone.