Conclusion:
Severe sepsis is a critical diagnosis and often seen in the intensive care unit. Sepsis can be identified by different hallmarks which can often be skewed by the altered physiology of the cirrhotic patient. Ultimately, cirrhosis not only masks signs of sepsis but can predispose patients to worse outcomes due to the immune susceptibility of (CAID). Our case highlights the profound impact cirrhosis can have on a patient with sepsis. Moreover, the case suggests that further research is needed to elucidate appropriate antibiotic and antifungal considerations in empiric treatment for the septic cirrhotic. Further exploration of such information may improve mortality rates in this patient population.