Background: Intravenous vancomycin treatment is often necessary beyond hospitalization. Peripherally inserted central catheters (PICCs) are usually placed for this indication. Whether the less invasive midline catheters (midlines) are safe alternatives for outpatient parenteral antimicrobial therapy (OPAT) with vancomycin is unclear. We compared the safety of midlines and PICCs among patients receiving vancomycin for OPAT. Methods: [...]

Case Presentation: A 44-year-old man with a history of asthma presented to the emergency department with six weeks of non-bloody diarrhea and one week of abdominal distension. He described no clear trigger for these symptoms and denied associated fever, chills, melena, and dysphagia. He noted a similar episode three years prior, which self-resolved after three [...]

Case Presentation: A 23-year-old male presented to the emergency department after experiencing three nocturnal fevers over the preceding week. On further examination, he was febrile (38.5°C) and exhibited mild thrombocytopenia, lymphopenia, and hyperbilirubinemia. The patient had emigrated from the Democratic Republic of Congo three years earlier and had not traveled outside the United States since [...]

Case Presentation: 54-year-old male with history of stroke, seizures, neurogenic bladder, and spine surgery presented with increasing left sided weakness, trouble swallowing, unintentional 67-pound weight loss, headaches and double vision. On exam, he had bilateral upper extremity weakness, partial ptosis, diplopia, right eye ocular palsy, right eye gaze restriction in supraduction and abduction. Complete blood [...]