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: 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 [...]

Case Presentation: A 43-year-old male on peritoneal dialysis (PD) was admitted for nausea, vomiting, and abdominal pain. Ten days prior to admission, cloudy effluent was noted during PD, prompting initiation of empiric intraperitoneal vancomycin and ceftazidime therapy. He subsequently developed worsening symptoms leading to his presentation to the hospital.His past medical history was notable for [...]

Case Presentation: A 50-year-old woman with history of ESRD on PD, CHF, and recent invasive pulmonary aspergillosis on posaconazole presents with three days of gradually progressive shortness of breath and right-sided chest pain. The chest pain was associated with coughing and deep breathing, but non-exertional with no hemoptysis. The patient lived with her sister and [...]

Case Presentation: A previously healthy 29-year-old woman was diagnosed with end-stage renal disease of unknown etiology and initiated on daily peritoneal dialysis. Patient reported poor compliance with this treatment regimen and, five months later, presented to the emergency department with non-productive cough and pleuritic chest pain. She was found to have left upper lobe pneumonia [...]