Abstract
We experienced a case in whom a relapse of eosinophilic peritonitis occurred with CAPD resumption. A 54-year-old man on hemodialysis (HD), for chronic renal failure due to diabetic nephropathy, was admitted with the intent of switching to CAPD treatment because of shunt trouble. Cloudy effluent was noticed several days after commencing CAPD, and the diagnosis of eosinophilic peritonitis was made because, while there were no clinical symptoms, the effluent culture was negative and the cell count was 300-400/μl with 60-84% eosinophils. The condition resolved after 3 weeks without therapy and he was discharged. However, he was admitted again to remove the catheter because of peritonitis caused by Pseudomonas and resumed CAPD after 2 months of HD. A relapse of eosinophilic peritonitis occurred, but resolved 1 week later without therapy.
This is a valuable case which proves that eosinophilic peritonitis can recur. This is highly relevant to investigations into the cause of this disease.