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Eosinophilic peritonitis usually breaks out within 6 months after start of peritoneal dialysis. We report a case of eosinophilic peritonitis broken out on the 20th month after start of peritoneal dialysis and completely cured by oral prednisolone. A 69-year-old man was admitted because of turbid peritoneal effluent. He had end stage renal disease secondary to hypertension and had started CAPD 20 months ago. He had no allergic history. Initial leukocyte count of peritoneal effluent was 762/mm3 (neutrophil count: 503/mm3 eosinophil count: 182/mm3). We suspected bacterial peritonitis at first and administered intraperitoneal antibiotics. No bacteria or fungus were found in the effluent culture. In spite of antibiotic use for 14 days, peritoneal fluid was persistently turbid and eosinophil count was high. We prescribed oral prednisolone 40 mg daily. Three days later, peritoneal fluid was cleared up and no leukocyte was seen in peritoneal fluid. He continued CAPD without catheter removal.(Korean J Med 70:S284-S287, 2006)
Key Words : Peritoneal dialysis, Eosinophil, Peritonitis, Prednisolone |
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