of successful treatment and return to peritoneal dialysis

sented to hospital with 2 weeks of generalized abdominal pain and cloudy PD effluent. He had been on PD for 3 years, with only one previous episode of PD-related peritonitis secondary to Streptococcus oralis a year prior. Other sig-nificant co-morbidity included well-controlled Type 2 dia-betes mellitus on diet therapy, hypertension, mild chronic obstructive airways disease and quiescent gout. On initial examination, the patient was afebrile with blood pressure of 140/70mmHg. Abdominal examination showed generalized tenderness and normal bowel sounds. The PD catheter exit site was normal. Microscopy of dialysate showed 1600 leucocytes, 86 % of which were neutrophils, and no organisms. After initial investigations, antibiotic treatment was commenced for PD-related peri-tonitis with empirical intraperitoneal cephazolin and gen