Case Presentation: A 79-year-old female nonsmoker with chronic bronchiectasis on 3 liters of home oxygen presented with worsening shortness of breath. The patient’s baseline creatinine (cr) was 0.85 mg/dL, eGFR 60, and she was admitted with cr of 2.2 mg/dL. Urinalysis showed proteinuria, pyuria, hematuria with few bacteria, with new onset anemia (Hgb 7.8) on [...]

Case Presentation: A 72 year old diabetic male presents to the hospital with a severe and extensive rash involving the entire body. Despite being treated with prednisone, topical steroids and doxycycline, the patient’s symptoms worsened and spread cephalocaudally, eventually spreading to the hands and bilateral lower extremities. Skin biopsy confirmed a diagnosis of Pityriasis Rubra [...]

Case Presentation: A 45 y.o. man presented with fever, night sweats, and hemoptysis for one week. He had immigrated to the United States from Mexico 4 years prior. Initial laboratory evaluation was notable for c-reactive protein 134.3mg/dL (normal: < 8mg/dL) and D-dimer 1646ng/mL (normal: < 500ng/mL). Chest CT showed multiple focal regions of consolidation with [...]

Case Presentation: An 88-year-old woman comes to the emergency department with a four-day history of left-sided flank pain associated with nausea and emesis. She has a history of essential hypertension, dyslipidemia, anxiety, and diverticulitis, with a prior history of partial colectomy. For hypertension, she has been on triamterene-hydrochlorothiazide 75 mg-50 mg once daily for several [...]

Case Presentation: We present a 53-year-old Caucasian male with a history of Ankylosing spondylitis and Sjogren’s syndrome who presented to the ED with cough, fever, fatigue and mild rash that appeared during his admission for a recent knee replacement. Discharged on cefadroxil, his symptoms persisted after completing treatment. No concerns for surgical site infection were [...]

Case Presentation: A 44-year-old man with a past medical history of poorly controlled diabetes mellitus type 2 presented to the emergency room with 7 months of bilateral leg pain and swelling that acutely worsened in the last 2 weeks and multiple recent mechanical falls. The falls were not associated with loss of consciousness or other [...]

Case Presentation: A 32-year-old male with no significant past medical history presented to the emergency department with a 3-day history of anorexia, fever, and a rash after returning from a trip to Colorado. Additionally, he endorsed an 8-pound weight gain and dyspnea on exertion.Upon presentation, he was febrile, tachycardic and had a diffuse targetoid rash [...]

Case Presentation: An 80-year-old Caucasian male with a recent history of transaortic valve replacement three months ago was admitted to the hospital with a history of malaise, and 20 pounds of weight loss in 2 months—no history of diarrhea, fever, vomiting or skin rash. Notably, the patient had multiple admissions for septicemia with salmonella species [...]

Case Presentation: A 65 year old female with a history of type one diabetes presented to an outside hospital with malaise, fatigue, and fever for two weeks. Her social history was notable for frequently participating in the interactive game of Geocaching in the outdoors of southeastern PA. On arrival she had severe sepsis with a [...]

Case Presentation: A 25 year old male with history of recurrent left seminoma, on Cycle one and Day 15 of bleomycin, etoposide, and platinum (BEP) combination chemotherapy admitted from infusion center reporting new onset of dry cough, shortness of breath, solid food odynophagia and dysphagia. Symptoms began suddenly after a meal of chicken with rice. [...]