Case Presentation: A 50-year-old female with a history of CKD5, cervical cancer, and severe PAD presented to the ED with 1 day of altered mental status and hypoxia. On arrival, she was found to be in septic shock with renal failure. She underwent emergent hemodialysis (HD) and was admitted to the ICU. Imaging was consistent [...]

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: A 68-year-old man was presented to the emergency department with headache, confusion, sweats, body aches, and nonproductive cough. He had recently returned from a solo hiking trip in the woods where he not only swam in a lake but also was exposed to poisonous plants and bitten by mosquitoes and other insects. The [...]

Case Presentation: A 79-year-old male with a past medical history of coronary artery disease presented to the emergency department with a 1-week history of generalized weakness, fever, and chills. He reported associated generalized myalgia involving his chest, abdomen, and neck, as well as headache, productive cough, and diarrhea. There was no associated skin rash.On presentation, [...]

Case Presentation: A 38-year-old woman with a history of discoid lupus presented with a week of progressive fever, chills, pustular rash, and polyarthritis. The pustular lesions started periorally but then spread to the palms, soles, and torso. Her joint pain was predominantly in her ankles, knees, wrists, and shoulders. Aside from minor scratches from pet [...]

Case Presentation: A 34-year-old male presented with 3 months of sores on his oral mucous membranes, rash, and a 50 lb weight loss felt to be due to pain with eating. He was seen by various providers in the outpatient setting and took courses of Valacyclovir, Azithromycin, and steroids without improvement. On initial presentation, there [...]

Case Presentation: A 26-year-old man with no significant past medical history presented to medical attention with severe oral mucositis. Approximately one week prior to his presentation, the patient developed symptoms of a respiratory illness with a productive cough, myalgias, and fever of up to 103 Fahrenheit. Although his respiratory symptoms began to improve, he developed [...]

Case Presentation: A 60-year-old male with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus presented to the emergency department with a progressive lower extremity rash, abdominal discomfort, and diarrhea. The patient was hospitalized five days prior for lower extremity cellulitis and was discharged on clindamycin. After discharge, he developed a bilateral lower extremity [...]

Case Presentation: A 37-year-old woman with no known past medical history presented with several weeks’ history of worsening crampy pain in her legs; she reported taking nonsteroidal anti-inflammatory drugs for pain with little relief. She had also noticed discoloration and a lacy rash, particularly around her calves and moving upward toward her inner legs. She [...]