Recurrent abdominal pain caused by a toothpick in a CAPD patient. 
A 27-year-old patient on CAPD presented with febrile illness and abdominal pain suggestive of peritonitis.  Dialysis fluid culture yielded Enterococcus.  Response to treatment was slow, with pain persisting.  Laparotomy revealed a toothpick, which was causing peritoneal irritation.  It was unclear how the foreign object entered the peritoneum.