26th June 2023

A 43-year-old woman on continuous ambulatory peritoneal dialysis presents to hospital unwell with fevers and abdominal pain.

A 43-year-old woman on continuous ambulatory peritoneal dialysis presents to hospital unwell with fevers and abdominal pain. She reports that her fluid looked cloudy on her last drainage. Her abdomen is tender with significant rebound tenderness. Her observations are normal other than a temperature of 37.8 degrees.

Given the most likely diagnosis, what is the most appropriate initial treatment?