Background: Osteomyelitis is an acute or chronic infection of the bone structures which can be caused by either bacteria, fungi, or mycobacteria. Studies have reported a high annual incident of about 1 in 675 hospital admission in the United States. The overall incident is higher in the male population for reasons unclear and increases with […]

Case Presentation: Our patient is a 27 y/o male with PMHx of HIV (CD4 count 740, HIV viral load 100 copies/mL), Type I Diabetes who presented to the emergency room for tachycardia and fever. ED vitals notable for temperature of 39.1° C and heart rate of 108. White blood cells notable to be 13.8 thousand/mcL. […]

Case Presentation: A 61-year-old female awoke one morning to thirty minutes of right sided weakness and slurred speech prompting hospital admission for stroke. Treatment with metronidazole and ciprofloxacin for colitis diagnosed two days ago was continued in hospital. Diffusion weighted imaging (DWI) of the brain MRI revealed infarctions in multiple vascular territories involving bilateral cerebral […]

Case Presentation: A 15-week G2P3 pregnant 33-year-old woman with past medical history of chronic hepatitis C, current intravenous drug use (IVDU) presented from a correctional facility complaining of abdominal pain and hematuria. Exam revealed a gravid uterus and bilateral pedal edema. Patient responding only to pain and not following commands. Temp 102.8 F, HR 120’s […]

Case Presentation: The patient is a 74 year-old male. He has chronic lymphocytic lymphoma, renal cell carcinoma treated with partial left nephrectomy a year ago, cryptogenic organizing pneumonia (on prednisone 15 mg daily), benign prostate hyperplasia, coronary artery disease, hypertension, hyperlipidemia, and gout.He presented with shaking chills and fever for 1 day duration. The symptoms […]

Case Presentation: A 52 year old man with a PMHx of IVDU and HLD presents with a CC of “Cold Leg”. This was preceded by sudden onset numbness and weakness of his right foot and leg, inability to ambulate and severe pain in his thigh. He reported prodromal fevers, sweats and arthralgias. His last IVDU […]

Case Presentation: 71-year-old man with a history of atrial fibrillation, presented with four-months of fatigue, 50lb weight loss, night sweats and petechiae spreading from legs to abdomen and arms. On admission, vital signs were unremarkable. On physical exam, he had non-blanching, non-palpable petechiae extending from his lower extremities (LEs) to torso and upper extremities and […]

Case Presentation: A 42-year-old female with a past medical history of end stage renal disease from focal segmental glomerulosclerosis on hemodialysis for the past four years, presented to her cardiologist with worsening dyspnea on exertion and a feeling of “increased fluid in her lungs”. An outpatient transthoracic echocardiogram (TTE) was obtained, which showed a normal […]

Case Presentation: A 62 year old female with a past medical history of hypertension and diabetes presented to the emergency department with two days of fevers and lethargy. She was hypotensive despite fluid resuscitation and admitted to the intensive care unit for septic shock. Both urine cultures and initial blood cultures grew E. coli resistant […]

Case Presentation: Prosthetic valve endocarditis (PVE) is predominantly caused by staphylococcus aureusand streptococcus viridian. Infective endocarditis (IE) due to Burkholderia cepacia israre. We present a case of a 27-year-old man with history of injection drug use, IE of aorticand mitral valve status post replacement with bioprosthetic valves 6 months ago, whopresented with fever, chills, dyspnea and […]