Case Presentation: Bacterial osteomyelitis is very challenging to treat. This is partly due to the widespread antimicrobial resistance to gram positive bacterium Staphylococcus Aureus. We present a severe case of disseminated staphylococcus aureus osteomyelitis, that includes bacteriemia, psoas abscess, infective endocarditis, osteomyelitis, septic arthritis of knee and shoulder joints. A 63-year-old woman with poorly controlled [...]

Case Presentation: A 36-year-old man with 2 prior mechanical valve replacement for congenital aortic valve stenosis presents to the hospital with 2-week history of fever, chills, fatigue, generalized weakness and malaise. He had his first aortic valve replacement at the age of 17 and redo for valve for restenosis of the aortic valve with severe [...]

Case Presentation: A 70-year-old man presented with acute on chronic cough, dyspnea, chills, and pleuritic chest pain. The patient had returned from Jerusalem four months prior, where he participated in multiple large religious gatherings. Since his travels, the patient also reported weight loss and decreased appetite, with months of cough and sneezing. Vitals included a [...]

Case Presentation: A 55-year-old woman with no known past medical issues is admitted with a 1-week history of weakness and two days of fever and chills. Workup showed WBC count was 15600/µL, C-reactive protein of 14.3 mg/dL, procalcitonin of less than 0.05 ng/mL, and lactate of 0.7 mmol/L. Since procalcitonin was negative and there was [...]

Case Presentation: A 65-year-old male presents to hospital with a 1-day history of confusion and fever. Past medical history is significant for heart failure requiring AICD, chronic kidney disease, type-2 diabetes mellitus, May-Thurner syndrome, and recent admission three weeks prior due to sepsis from streptococcus bacteremia requiring hemodialysis, with dialysis catheter removed before initial discharge. [...]

Case Presentation: A 35-year old male with a PMH of homelessness and methamphetamine use presented to the ED in October 2022 for “flu-like symptoms” including chills, headache, congestion, abdominal pain and nausea/vomiting. He tested positive for influenza B and was admitted for symptomatic treatment and disposition planning. In reviewing his chart, it was apparent that [...]

Case Presentation: Here is a case report that describes an immunized immunocompetent 17-year-old male who presented with acute onset sharp migratory poly-articular pain and swelling as a solitary complaint that began in the left hip and right wrist associated with night sweats and difficult ambulation. Fever and other systemic symptoms were absent. Upon initial work-up, [...]