Case Presentation: 76-year-old Hispanic male, presented with two weeks of progressing rash, worsening AMS and new symptoms of fever and severe extremities pain. Previously treated for allergy, UTI, and Pneumonia without improvement. His past medical history included Hypertension, DM-2, and ischemic stroke. On examination he was disoriented and unable to answer questions. A disseminated non [...]

Case Presentation: An 83-year-old male with a history of seizures, CHF, hyperlipidemia, obstructive sleep apnea, and BPH presented with 2-3 days of altered mental status. His family reported worsening leg swelling and blisters for the past few months, with a rash spreading to his upper extremities and wounds draining serosanguinous fluid. He was hypoxic in [...]

Case Presentation: A 55-year-old female with hypertension presented to the Emergency Department with bilateral lower extremity rash. Five days prior, she developed fatigue and small red spots on her distal legs which progressed to pruritic, raised, palpable lesions. Over-the-counter steroid cream reduced the pruritus, but the rash spread proximally, prompting presentation. She was hypertensive with [...]