Case Presentation: A 76-year-old female noted left fourth- and fifth-digit pain on day 12 receiving trimethoprim/sulfamethoxazole (TMP/SMX) and linezolid for purulent collections of Nocardia abscessus complex in the right gluteal and paraspinal muscles. She had a medical history of atrial fibrillation on apixaban, heart failure with preserved ejection fraction, and a history of deceased donor [...]

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: A 27-year-old male with end stage renal disease from focal segmental glomerulosclerosis with living donor transplant and progression to chronic kidney disease presented with 2 weeks of diarrhea, proctalgia, and hematochezia. On presentation he was afebrile and hemodynamically stable. Rectal exam showed significant tenderness, no hemorrhoids or fluctuance, and mucous-like drainage. Labs showed [...]

Case Presentation: A 33-year-old man with end-stage renal disease status post renal transplant was readmitted to the hospital with recurrent acute kidney injury (AKI).During his first admission, he reported a few weeks of nonproductive cough, dyspnea, congestion, chills, and recent nausea with vomiting. He was afebrile with normal vital signs and normal SpO2. Respiratory panel [...]

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 37-year-old man, diagnosed with HIV two years ago and currently not on antiretroviral therapy, presented with flu-like symptoms and weight loss over the last two months and confusion for two days. The patient denied any international travel outside the United States. On presentation, he was found to have severe hyperkalemia and acute [...]

Case Presentation: 65-year-old female who presented to the emergency department with diffuse abdominal pain persisting for one week. Her medical history is significant for diffuse large B-cell lymphoma, for which she had undergone chimeric antigen receptor (CAR) T-cell therapy six months prior to her presentation. Upon evaluation, she exhibited elevated liver function tests (LFTs), elevated [...]

Case Presentation: We present a case of toxoplasmosis pneumonia in a 56-year-old male with a medical history significant for renal transplantation due to familial focal segmental glomerulosclerosis (FSGS) seven years ago. His post-transplant course was complicated by development of chronic kidney disease (CKD), and he was on maintenance immunosuppression. The patient presented to the emergency [...]

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 [...]

Case Presentation: A 68-year-old male with a three-year history of kidney transplantation on chronic immunosuppression presented with persistent hypotension and acute right leg pain secondary to a right lower extremity abscess. Initial comprehensive computed tomography (CT) revealed multiple additional abscesses, including neck, forearm, retroperitoneal, paravertebral and numerous pulmonary nodules. Given concerns for possible disseminated Nocardia, [...]