Case Presentation: Herpes simplex virus 2 (HSV-2) infection often presents in a disseminated pattern in immunocompromised hosts. Immunocompetent hosts typically present with genital or oral lesions or have HSV-2 or varicella-zoster virus (VZV) that follows along a dermatomal pattern. Here we present a herpetiform rash, which was culture positive for HSV-2 on biospy, that disseminated across [...]

Case Presentation: A 21 year old man presented to his primary care doctor with 4 days of fever and pruritic rash on his hands and feet. Labs showed leukocytosis and transaminitis. He was started on doxycycline for Rocky Mountain Spotted Fever, however tick borne serologies, MonoSpot, HIV, RPR and hepatidities were ultimately negative. He presented [...]

Case Presentation: A 63-year-old Hispanic man from Mexico, with a history of hypertension and obesity, presented in September to an outside hospital with high fevers. He worked as a truck driver primarily in Arizona. He had a witnessed seizure and developed persistent altered mental status. The patient rapidly decompensated into septic shock requiring vasopressors, and [...]

Case Presentation: A 60-year-old female with history of a hip replacement complicated with MRSA s/p multiple revisions and sick sinus syndrome with pacer placed in 2004, presented to the ED with an “itchy rash most tender at the pacemaker site” where a cardiovascular implantable electronic device (CIED) within a TYRx envelope was placed two days [...]

Case Presentation: A 36 year old female, with known ileocolonic Crohn disease, status post total colectomy with end ileostomy, maintained on Infliximab and Azathioprine, presented with one day history of subjective fevers and fixed, non-progressive, abdominal wall rash. Two days prior to presentation she was started on Topiramate and Celecoxib for headaches and joint pain [...]

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: A 71 year old Caucasian man with uncontrolled diabetes mellitus, stage III chronic kidney disease, hypertension, hyperlipidemia, sick sinus syndrome, and osteomyelitis of the right 2nd metatarsal s/p amputation, was transferred from an outside hospital for evaluation of rash and acute on chronic kidney injury. He first presented to the outside hospital for [...]