A woman on hemodialysis for end-stage renal disease with fever

摘要

A 73-year-old woman on hemodialysis for end-stage renal disease was admitted to our institution from a subacute-rehabil-itation facility due to a fever of 102°F. The patient reported some nausea, diarrhea, abdominal pain, and weakness but stated that she had been experiencing these symptoms for some time. Other than the above-mentioned gastrointestinal symptoms, the patient denied any cardiopulmonary, upper respiratory, or genitourinary symptoms. No contaminated food items were identified, and no other residents at the facility were presenting with similar symptoms. Physical examination revealed a diffusely tender abdomen without evidence of any other systemic signs. A computed tomography (CT) examination of the abdomen demonstrated possible right-sided colitis, and the patient was begun on ciprofloxacin and metronidazole.