Peritonitis in peritoneal dialysis
Posted by dkwinter

Path
     Peritonitis in a patient on Continuous Ambulatory Peritoneal Dialysis (CAPD) is usually due to gram-positive pathogens such as Staphylococcus aureus or epidermidis. 
Dx
     It is usually characterized by abdominal pain and over 100 white blood cells (typically polymorphonuclear leukocytes) in a sample of peritoneal dialysis fluid. 
Tx
     IV vancomycin would be a reasonable treatment to cover gram-positive pathogens.