Case Presentation: A 76-year-old female with a history of an incarcerated hernia, Clostridium difficile colitis, hypertension, and dyslipidemia presented to the emergency department (ED) with bloody diarrhea and weakness. On admission, the patient denied fevers, chills, or cough. Additional symptoms included self-limited hyponatremia (133 mmol/L), likely due to excessive diarrhea, bleeding internal hemorrhoids with discomfort, [...]

Case Presentation: A 56-year-old man with a history of ulcerative colitis (UC), treated with Adalimumab, returned from a 10-day cruise to Puerto Rico. He presented with 5-days of fever, chills, fatigue, anorexia and multiple loose stools daily. On presentation, he was ill-appearing, febrile (T = 102.8oF) and tachycardic (HR = 124 bpm). RR = 16 [...]