Case presentation A 37-year-old man diagnosed three years back with end-stage renal disease of unknown origin started with peritoneal dialysis (PD) using a peritoneal catheter and switched to hemodialysis (HD) using a femoral venous catheter after two months (due to incompliance and frequent episodes of lung edema). The peritoneal catheter was left in place considering his frequent travels; however, the femoral catheter was replaced by a tunnel jugular central venous catheter (CVC) , and an arteriovenous fistula was also created for future access.
In the following year, the patient reported to the hospital with hyperpyrexia and chills. Physical examination at the time of admission revealed: Orientation – Normal and alert Temperature - 38°C Peripheral arterial blood pressure – 147/83 mmHg Oxygen saturation – Normal No abdominal tenderness No organomegaly No signs of infection at the…
