History of Presentation
A 53 year old woman was transferred from her out-patient hemodialysis
center to our institution for persistent generalized weakness
accompanied by fatigue and abdominal distension. On admission, she is
normotensive, non-tachycardic, non-tachypneic, saturating 100% on room
air. A faint murmur was present at the left sternal border. A
pericardial friction rub was also detected. The abdomen is distended
with evidence of ascites. The hospital course was unremarkable until the
third hospital day when she developed fever of 100.3F. She has no
chills, cough, colds, abdominal pain, dysuria, diarrhea.