Eosinophilic Peritonitis in Continuous Ambulatory Peritoneal Dialysis Patients: A Report of Two Cases

Eosinophilic peritonitis should be considered in the differential diagnosis of cloudy peritoneal fluid occurring within the first few months of peritoneal dialysis. It is a self-limited disease and has a benign prognosis. Antibiotics are not necessary as they may not influence the course of the disease. However, symptomatic eosinophilic peritonitis can benefit from short courses of therapy with steroids or antihistamine. Here, we report two recent cases of eosinophilic peritonitis at our hospital. These two cases had cloudy peritoneal fluid with high eosinophilic count without abdominal pain, and negative of peritoneal fluid culture and Gram stain. One case was treated with antihistamine and low dose steroid and the other was treated with supportive treatment. All the dialysate fluids were clear after treatment.