Background: Patients hospitalized with hematologic malignancy are particularly vulnerable to infection. Clostridium difficile infection (CDI) has become the most common cause of healthcare-associated infections in U. S. hospitals, and the excess healthcare costs related to CDI are estimated to be as much as 4. 8 billion dollars for acute care facilities alone. We sought to [...]

Case Presentation: A 70-year-old gentleman with no known medical issues was brought in to the emergency department after experiencing sudden onset unresponsiveness and respiratory arrest. He had been intubated by paramedics on arrival. Upon transfer to the emergency department, he was found to have unstable atrial fibrillation with rapid ventricular response necessitating cardioversion. Initial labs [...]

Case Presentation: A 54-year old female was hospitalized for 3-week history of abdominal pain, chills, nausea and diarrhea. Her past medical history was significant for multiple self-reported antibiotic allergies, Roux-en-Y gastric bypass complicated by gastrojejunostomy leak, and prior perisplenic abscess requiring percutaneous drainage. On admission, blood pressure was 137/79, heart rate of 80, respirations 20, [...]

Case Presentation: 71-year-old male with multiple myeloma being treated with dexamethasone, elotuzumab and bortezomib, prior mediastinal plasmacytoma s/p chest radiation therapy and Crohn’s disease was admitted with high-grade fever, chills, productive cough. Labs revealed pancytopenia with neutrophil count of 1.2. Patient was started on broad-spectrum antibiotics for febrile neutropenia. IV Azithromycin was added to the [...]