Background: Spontaneous Bacterial Peritonitis (SBP) is associated with high mortality.  A recent article[1] showed that, in the setting of SBP, delayed paracentesis was associated with increased mortality.  Because of the clinical ramifications of this association, we attempted to recreate this finding using our local patient population. Methods: Similar to the study that prompted this inquiry, [...]

Case Presentation: A 55-year-old man with a history of asthma, chronic kidney disease and hypocalcemia presented with dyspnea and hypoxemia to the Emergency Room. The patient reported cough, purulent sputum production, and fever. His symptoms began 3 weeks prior and he was diagnosed with pneumonia by his outpatient pulmonologist. He completed a 10 day course [...]

Case Presentation: An 80 year old man in ESRD receiving peritoneal dialysis who had suffered several days of nausea, vomiting, and diarrhea came to his nephrologist after his dialysate became a yellow, milky color. The nephrologist cultured his peritoneal fluid, and gram positive cocci in clusters were seen on gram stain. He underwent treatment with [...]