Case Presentation: A 38 year-old female with Crohn’s disease on infliximab presented to the ED with 3 weeks of fever, cough, and shortness of breath (SOB) unresponsive to a 10-day course of levofloxacin for presumed community acquired pneumonia (CAP). She emigrated from Ecuador in 2001 and was employed as a medical assistant in a private [...]

Case Presentation: Many patients are being treated with biologic therapies for autoimmune diseases in the outpatient setting. It is critical for the hospitalist to recognize these patients as immunosuppressed and generate a broad differential when they are admitted to the hospital. The patient in this case was a 35-year-old male with a past medical history [...]

Case Presentation: A 66-year-old female with a history of Crohn’s disease (CD) and Stage IV chronic kidney disease presented with a 2-day history of acute-onset numbness and tingling of bilateral hands and feet. The patient has a long-standing history of CD and underwent a right hemicolectomy with end ileostomy at the age of 13. She [...]

Case Presentation: A 49-year-old man with a history of ulcerative colitis presented to the emergency department (ED) with progressive symptoms of fever, myalgias, night sweats, and diffuse abdominal pain. He recently completed a course of ciprofloxacin, metronidazole, and prednisone after developing fever following his infliximab infusion. In ED, his physical exam was unrevealing. Laboratory results [...]