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 54 year old male with a history of intravenous drug use presented for three days of altered mental status, dyspnea, and low urine output. He was previously admitted a month ago for septic shock secondary to aortic valve endocarditis and underwent aortic valve repair, but left against medical advice before completing his […]

Case Presentation: A 50-year-old male with a history of hypertension, hyperlipidemia, and mitral valve prolapse presented to the ED per ophthalmology for further evaluation after 2 weeks of progressive bilateral vision changes, floaters, eye redness, and pain. On his initial presentation to eye clinic, he was diagnosed with bilateral panuveitis and managed with hourly prednisone […]

Case Presentation: A 28-year-old female with a PMH of intravenous drug use (IVDA) and untreated hepatitis C presented to the ED with one-week history of painful, erythematous, and tender skin in both upper and lower extremities. She also endorsed myalgia, pleuritic chest pain, and last use of heroin the day prior. She denied fever or […]

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: This is a case of a 58-year-old male with history of urethral stricture s/p dilation who presented with progressive dyspnea, nonproductive cough and fever. Chest x-ray revealed bilateral diffuse opacification concerning for pneumonia, CTA showed no PE. The patient was initiated on levofloxacin for Pneumonia, heparin infusion for NSTEMI and was admitted to […]