Case Presentation: An 80-year-old male with a history of collagenous colitis, hypertension, type 2 diabetes, microcytic anemia, exocrine pancreatic insufficiency, severe malnutrition, and vitamin D deficiency presented with weakness, chronic diarrhea, and significant weight loss (~100 lbs in one year). He had 5-7 non-bloody stools daily, unresponsive to colestipol and loperamide, accompanied by abdominal bloating [...]

Case Presentation: A 63-year-old female with a past medical history of stage III breast cancer status post double mastectomy in 2017 with bilateral implants presented to the emergency department for left breast implant rupture and dehiscence. She was started on broad spectrum antibiotics with Vancomycin and Zosyn and was later switched to Meropenem. Chest CT [...]

Case Presentation: A 33-year-old female with a renal transplant 18 months prior was transferred to our hospital with acute kidney injury after presenting with acute gastrointestinal symptoms. One year earlier, a biopsy of the transplanted kidney revealed budding yeast consistent with Histoplasma capsulatum. Histoplasma urine and serum antigens were negative, and Itraconazole was discontinued after [...]

Case Presentation: A 29-year-old male with a past medical history of uncomplicated bio-naïve mild ulcerative colitis (UC) diagnosed on a recent colonoscopy on oral mesalamine 4.8 grams/day presented to the hospital for acute onset central chest pain two weeks after initiation of therapy. The character of the chest pain was sharp, worsening with deep inspiration, [...]

Case Presentation: A 59-year-old male presented to the ED with tachycardia, hypotension, and three days of vomiting and abdominal pain. He was recently hospitalized for acute hypoxic respiratory failure after several missed hemodialysis sessions. His comorbidities include end-stage renal disease (ESRD) on hemodialysis, peripheral neuropathy on tramadol, and peritoneal mesothelioma not on treatment. Initial labs [...]

Case Presentation: Stercoral colitis (SC) is an uncommon yet life-threatening inflammatory condition caused by fecal impaction in the colon, leading to increased intraluminal pressure, ischemia, and inflammation. If untreated, complications such as necrosis, perforation, and sepsis can result in mortality rates as high as 63%. Clostridium species, particularly C. perfringens and C. ramosum, are rare [...]

Case Presentation: A 37-year-old female presented to urgent care for one month of bloody bowel movements, approximately 30 each day with accompanying tenesmus, night time accidents, urgency, mild weight loss, and some fatigue. She had no extra-intestinal inflammatory bowel disease (IBD) symptoms, recent travel, antibiotic use, or dietary changes. The labs obtained during the urgent [...]