A Case of Inadequate Ultrafiltration on Peritoneal Dialysis: A Quiz

A 35-year-old female patient with end-stage kidney failure secondary to focal segmental glomerulosclerosis was initiated on continuous cyclic peritoneal dialysis (CCPD). The PD regimen comprised 5L of 2.5% tonicity dextrose and 5L of 1.5% dextrose, administered in 5 cycles of 2L over 10 hours followed by a long dwell of 2L icodextrin. Three years after PD initiation, she developed refractory Streptococcus agalactiae peritonitis requiring catheter removal and conversion to hemodialysis. Subsequently she decided to return to PD; hence 5 months later, a PD catheter was reinserted.