Case Presentation: A 57 year-old Japanese female with no significant past medical history presented with fever, productive cough and swelling of right ankle for seven days. She lived with her grandchild and her son. Her grandchild had fever and rash three weeks ago, diagnosed with hand foot and mouth disease. Her son had elevated hepatic [...]

Case Presentation: A 51year-old female presented with one week of worsening pain and malodorous drainage from a chronic breast wound. Her PMH included HTN induced ESRD on HD. Her wound started 6 months ago as a red rash that grew in size and became tender and ulcerative. Work up thus far included imaging such as [...]

Case Presentation: A thirty-three year-old woman presented with four days of rash progressing to facial swelling with painful oral ulcers and difficulty swallowing as well as vaginal pain with painful urination. She also endorsed headaches, arthralgias, and fevers. Her past medical history was significant for a recent IUD placement. Besides prescriptions for diphenhydramine and prednisone [...]

Case Presentation: An eighteen-year-old woman presents with progressively worsening weakness in her legs as well as numbness throughout her body. She also endorsed rhinorrhea, nasal congestion, abdominal discomfort, nausea, vomiting and decreased urine output. Her past medical history included depression and asthma. She received a flu vaccine 30 days prior to symptom onset and denied [...]

Case Presentation: A 74-year-old male with a history of coronary artery disease and atrial fibrillation presented with shortness of breath, orthopnea and leg edema of 2 weeks duration. He denied any chest pain, palpitations, or lightheadedness. He had no known allergies. On examination, blood pressure was 190/100 mmHg, pulse 82/minute, respiratory rate 28/minute with oxygen [...]

Case Presentation: 42 year old male with history of active substance abuse and multiple psychiatric diagnosis who presented with acute onset of progressive weakness and multiple cranial nerve palsies (extra ocular, facial and bulbar involvement) in the setting of recent IV and subcutaneous heroin use. Patient initially had onset of generalized fatigue, dysarthria and left [...]

Case Presentation: We present the case of a 70-year-old man who developed MSSA bacteremia after removal of a spinal stimulator. The bacteremia cleared with cefazolin treatment, but he developed an MSSA psoas abscess. He underwent abscess source reduction and was started on oxacillin, based on culture sensitivities. Unfortunately, he developed encephalopathy and was restarted on [...]

Case Presentation: An 83-year-old man visiting from rural Mexico, presented with one-month-old diffuse, painful, multinodular subcutaneous lesions with a pruritic rash on the left leg. A week prior to admission, the patient reported new inguinal and upper extremity lesions and a violaceous, pruritic, non-painful, maculopapular rash at the waistband with progression to the upper arms. [...]

Case Presentation: A 65-year-old man presents with five days of altered mental status, ataxia, and headaches. Four months prior, he traveled to Arizona. Soon after, he sought care for sinus pain, cough, weight loss, and diplopia. Lumbar puncture (LP) at the time showed 492 white blood cells (WBCs)/μl (80% lymphocytes), protein 509 mg/dL, and glucose [...]

Case Presentation: A 36 year-old otherwise healthy female presented with six days of acute flu-like symptoms, myalgias, persistent fever and chills associated with abdominal bloating and vomiting for three days. Physical exam was notable for temperature of 103 F, sinus tachycardia and mild tenderness at the left upper quadrant on deep palpation. Labs were notable [...]