Relapsing peritonitis in a malnourished female with rheumatoid arthritis on continuous ambulatory peritoneal dialysis

Infectious complication such as peritonitis re­mains a major cause of drop out and death in CAPD patients. [1],[2] Incidence of peritonitis varies from centre to centre and country to country and majority of peritonitis episodes can be effectively treated with no relapses and recu­rrences. [3] There are certain factors which pre­dispose to peritonitis relapses and recurrences such as malnutrition, exit site and tunnel infec­tion, catheter biofilm and bowel leak. [3],[4] Malnu­trition is a major predictor of peritonitis related mortality in these patients. We hereby report a 52 year old vegetarian female with rheumatoid arthritis on CAPD who developed recurrent peritonitis and had inflammation, malnutrition and atherosclerosis.