Case Presentation: A 51-year-old male with a history of recent pneumonia and cocaine use (most recently 4 weeks prior) presented to the emergency department for shortness of breath. Exam demonstrated decreased left sided breath sounds with x-ray confirming left lower lobe consolidation and effusion.  Labs revealed neutropenia and a negative urine drug screen.  Neutropenia was [...]

Case Presentation: A 19-year-old female with mild persistent asthma, borderline personality disorder, and substance abuse presented with three days of a non-productive cough and dyspnea. She endorsed generalized malaise and body aches, without fever or chills. In the emergency department she was tachypneic and hypoxic to 87% on room air. A chest X-ray showed a [...]

Case Presentation: A 67 year- old man presented with three weeks of progressively worsening painful ulcers in bilateral lower extremities and fingers. The lesions started as numerous erythematous lesions on his legs and fingers five months ago that subsequently turned into inflamed blisters and ultimately evolved into painful crusted ulcers. He was treated with antibiotics and [...]