Background: People who inject drugs (PWID) are at high-risk for developing serious injection related infections requiring long-term IV antibiotic therapy. For infective endocarditis, current guidelines recommend at least 4 to 6 weeks of IV antibiotic therapy. In PWID, it is recommended this be completed in a supervised setting because discharge home with a PICC line [...]

Case Presentation: A 57-year-old female with a medical history of uncontrolled diabetes with a hemoglobin A1C of 14, hypertension, and a previous right-sided stroke presented to the emergency department with a four-day history of nausea, vomiting, watery diarrhea, fever and chills. On presentation, the patient was hemodynamic stable with no fevers. Physical examination revealed no [...]

Case Presentation: A 66-year-old male with end-stage renal disease on hemodialysis (HD), cervical spine stenosis with chronic constipation and previous stercoral colitis complicated by enterococcal bacteremia presented with two weeks of fevers and generalized weakness. The patient denied cough, runny nose, headaches, abdominal pain, diarrhea, or rash. He further denied recent procedures, hospitalizations, travel, or [...]

Case Presentation: A 65-year-old man presented to outside hospital post-fall with weakness, back pain and fever. He had sinus tachycardia, leukocytosis, and a meth-positive urine drug screen (UDS). Chest x-ray and CT abdomen/pelvis were unremarkable. Blood and urine cultures grew MRSA. Empiric antibiotics and infectious disease (ID) consult ordered. Transthoracic (TTE) and transesophageal (TEE) echocardiogram [...]

Case Presentation: An 80 year-old male with a past medical history of hypertension, hyperlipidemia, coronary artery disease with previous coronary artery bypass graft 4 years prior, and chronic diastolic heart failure presented with three days of acute onset weakness, abdominal pain, and subjective fevers. Patient had a fall one month prior to presentation and had [...]

Case Presentation: A 29-year-old man with medical history of type 1 diabetes mellites complicated by chronic nonhealing diabetic foot wound presented with one week history of shortness of breath and malaise. On physical exam he was hemodynamically stable and had a new grade II/VI holosystolic murmur at lower sternal border. Initial laboratory workup revealed elevated [...]

Case Presentation: A 45-year-old female with a history of agammaglobulinemia, gastroparesis post G & J tubes, complicated by failure to thrive necessitating TPN via a Hickman catheter presents, 2 years after catheter placement, with confusion, weakness and abdominal pain. She was admitted to the ICU for septic shock.Blood cultures were positive for MRSA and Candida [...]

Case Presentation: An 80-year-old Caucasian male with a recent history of transaortic valve replacement three months ago was admitted to the hospital with a history of malaise, and 20 pounds of weight loss in 2 months—no history of diarrhea, fever, vomiting or skin rash. Notably, the patient had multiple admissions for septicemia with salmonella species [...]

Case Presentation: This case report describes a 63-year-old man with a medical history of hypertension, hyperlipidemia, abdominal aortic aneurysm status post endovascular repair, chronic obstructive pulmonary disease, and alcohol use disorder, who presented to the emergency department with a three-week history of generalized weakness followed by a fever for the last three days. Physical examination [...]

Case Presentation: A 46-year-old female with history of rheumatoid arthritis and asthma presented with chest and back pain to an outside facility and was evaluated for acute coronary syndrome and cholecystitis. Patient’s absolute eosinophil count (AEC) was 1.76 at that time. Patient was re-admitted with altered mental status and vomiting. Her AEC was 41. Strongyloides [...]