Case Presentation: A 36 year old male with no past medical history presented to the ER with a 3 day history of fevers, nausea, vomiting, and diarrhea. Labs demonstrated hyponatremia to 126 and acute renal injury (1.7 up from 0.6). He was admitted for presumed viral gastroenteritis and treated supportively. Two days later his symptoms […]

Case Presentation: We present a multicenter 3 case series of a rare, but important sepsis mimic.Case 1 72-year-old female presented with generalized abdominal pain. Labs showed acute renal failure, lactic acidosis, thrombocytopenia and markedly elevated LFTs. She was treated for presumed sepsis with broad spectrum antibiotics. She developed a coagulopathy, DIC, and Pancytopenia requiring blood […]

Case Presentation: A 64-year-old male presented to the Emergency Room with one week of worsening productive cough, fevers (Tmax 103F), vomiting, diarrhea, and malaise. His past medical history was significant for Rheumatoid Arthritis (RA), treated with etanercept, hydroxychloroquine, leflunomide and sulfasalazine. On physical examination, he was febrile, normotensive with tachycardia, and tachypneic with diminished breath […]

Case Presentation: A 31-year-old male with no significant past medical history presented with fever, chills, night sweats, and rash. One week prior, he underwent incision and drainage of a perirectal abscess and was started on a 7-day course of trimethoprim/sulfamethoxazole (TMP-SMX). On the second day following the procedure, he developed fevers, chills, night sweats, and […]