Case Presentation: A 55-year-old woman with diabetes, hypertension, and hyperlipidemia presented with a rapidly progressive pustular eruption of one week’s duration. Two months earlier, she had been treated with terbinafine and doxycycline for presumed onychomycosis, during which nail dystrophy, dactylitis, and bullous lesions were noted. Four weeks into therapy, she developed urticarial plaques and pustules [...]

Case Presentation: A 73-year-old male with laryngeal cancer, under treatment at Mayo Clinic and complicated by severe dysphagia and malnutrition requiring PEG tube feeds, was admitted to the ICU with code status of DNR/DNI, with septic shock secondary to multifocal pneumonia. He had two prior admissions for pneumonia in recent months.On admission, empiric therapy with [...]

Case Presentation: A 49-year-old male with hyperlipidemia presented with two days of progressive numbness in the right lower limb and groin. Several weeks prior, he experienced back pain radiating to the left upper limb, followed by transient left leg numbness that gradually resolved. He denied recent illness, fever, or exposure to environmental toxins, but reported [...]