Background: Nocardiosis is a rare but potentially severe infection that can affect the immunocompromised as well as the immunocompetent population. It presents as a localized or disseminated infection, most commonly introduced through the respiratory trac. A significant amount of time is often needed to establish a diagnosis of nocardiosis, which has been reported to be [...]

Case Presentation: A 34 year old male with a history of CVID subclass 2 and 4, with low IgG level, absent IgA, liver nodular regenerative hyperplasia with portal hypertension, and immune thrombocytopenic purpura status post splenectomy presented with a month of nonproductive cough, mild episodes of hemoptysis, and shortness of breath. Physical exam revealed peripheral [...]

Case Presentation: 59 yo Caucasian male presented from an outside hospital (OSH) with primary complaint of “leg abscesses” of 1 wk duration. Patient was afebrile, vital signs stable and in no acute distress complaining of painful “leg abscesses.” PMHx significant for recurrent scrotal cellulitis for the past few years, but was improving when the leg [...]