Case Presentation: FM was a 69-year-old female who immigrated from Mexico to the US 30 years ago with a history of primary biliary cholangitis complicated by cirrhosis, hepatic encephalopathy, and esophageal varices presented to the emergency department with worsening abdominal distension. She was a former smoker with no history of alcohol or recreational drug use. [...]

Case Presentation: A 63-year-old male with a past medical history of type 2 diabetes mellitus, paroxysmal atrial fibrillation, ESRD on HD, and acute myeloblastic leukemia (AML) (diagnosed in 2015) in remission s/p allogeneic MRD PBSCT (4/16) was admitted for generalized weakness and confusion. His hospitalization was complicated by worsening pancytopenia (Hgb 7.8 g/dL, WBC 3.2 [...]

Case Presentation: A previously healthy 45-year-old male, who recently immigrated from India, presented with worsening dyspnea at rest, epistaxis, hearing loss, and bilateral eye irritation after three weeks on rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy. Negative Mycobacterium tuberculosis polymerase chain reaction (MTB PCR) and acid-fast bacillus (AFB) sputum culture results from the previous admission [...]

Case Presentation: A 66-year-old male with a history of hypertension and end-stage renal disease (ESRD) on home peritoneal dialysis (PD) was admitted to an outside hospital for abdominal pain and a cancer workup. During hospitalization, he inadvertently removed his PD catheter. The catheter was replaced and he was started on intraperitoneal cefepime and vancomycin at [...]

Case Presentation: The patient is an 80-year-old female with a history of urothelial cancer of the bladder status post transurethral resection and intravesical Bacillus Calmette-Guerin (BCG) treatment, gastrointestinal stromal tumor status post partial gastrectomy, and atrial fibrillation. Two years after completion of intravesical BCG treatment, surveillance computed tomography (CT) imaging showed a penetrating ulcer of [...]

Case Presentation: A 28-year-old female from Mexico with AIDS and prior Mycobacterium bovis (M. bovis) infection treated with rifampin, isoniazid, ethambutol (RIE), complicated by lumbar osteomyelitis due to suspected medication non-adherence, presented with acute onset headache and photophobia. On admission, CD4 T-cell count was 28/μL and HIV viral load was 75,200 copies/mL. Cerebral spinal fluid [...]

Case Presentation: A 58-year-old man from Thailand presented to the emergency department with a one month history of night sweats, penile pain, swelling, and scrotal wound drainage. Five months prior, he had traveled to India for a semi-rigid penile implant. After a diagnosis of “urethral tuberculosis” in Thailand, he began RIPE therapy (rifampin, isoniazid/pyridoxine, pyrazinamide, [...]

Case Presentation: A 91-year-old Japanese man was referred to our institution for the management of a ruptured thoracic aortic aneurysm. Two days prior, he had been admitted to another hospital with a one-week history of fever. Chest computed tomography (CT) revealed fluid accumulation around the descending aorta and a left pleural effusion, which was bloody, [...]