Case Presentation: A 49 year-old woman with end stage renal disease on peritoneal dialysis (PD) for the past year, presented with progressively worsening abdominal pain, fevers, and nausea. This was her second presentation as she had been treated with antibiotics for presumed culture-negative PD-catheter-associated bacterial peritonitis three weeks earlier without improvement. Admission vital signs and [...]

Case Presentation: A previously healthy 50-year-old man presented with 4 days of abdominal distension and subjective fevers at home. He was from rural Guatemala originally, now moved to Irvine, California. He denied any noxious habits including alcohol consumption, other travel history, or occupational exposures. On presentation, vital signs were stable except for slight tachycardia to [...]

Case Presentation: Case 1: A 66 year old female presented in October 2017 with generalized weakness, fatigue, abdominal pain, and oliguria. The symptoms have been worsening since her abdominal endovascular aneurysm repair (EVAR). She had her EVAR done in August 2017. In the Emergency Room the patient was afebrile with a temperature of 36.4 C, [...]

Case Presentation: 54-year-old female with history of anemia and fibroids presented with progressive dyspnea, generalized weakness, weight loss, and worsening abdominal pain and distention. Four months prior, patient presented similarly and was diagnosed with peritoneal carcinomatosis with an unclear primary. A positive Quantiferon TB was also noted on that admission. She emigrated from Jamaica in [...]