Case Presentation: A 54-year-old Hispanic woman presented with 5 days of subjective fevers, jaundice, nausea, vomiting, and right-sided abdominal pain. On presentation, she was febrile with borderline hypotension and tachycardia, abdominal tenderness, and laboratory values notable for leukopenia and transaminitis with direct hyperbilirubinemia. The patient received vancomycin, cefepime, metronizadole, and intravenous fluids per sepsis protocol. She was intubated [...]

Case Presentation: This is a 13 year-old premenarchal girl with no significant past medical history who began to experience malaise, headaches, and subjective fevers 5-6 days prior to admission. Subsequently she began to experience vulvar pain. This was followed by vulvar erythema which developed into “black dots” that began to ulcerate. Two days prior to [...]