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: A 56-year-old man with PMH chronic kidney disease (CKD) stage II, adjustment disorder, methamphetamine (meth) abuse, last use 2 days before admission, presented with decreased urine output, “coffee-colored” urine, diffuse muscle pain, severe back pain, and fatigue for 1 day. Urine was positive for amphetamines, CPK 218,000 mcg/L, AST, and ALT were 1254 [...]