Case Presentation: A 66 year old female with a history of RA, diabetes mellitus, and deep vein thrombosis, presented to ED with tachycardia and hypoxic respiratory failure requiring 5 liters of oxygen. Physical exam was notable for somnolence, decreased bilateral lower lobe breath sounds, swan neck deformity of the digits, and ulnar deviation. Chest radiograph revealed [...]

Case Presentation: A 72-year-old man presented with several months of progressive weakness and dysphagia with a 70-pound weight loss. He was diagnosed with rheumatoid arthritis (RA) 4 months prior based on serology and synovial biopsy and was started on hydroxychloroquine. Previous work up for weight loss and dysphagia revealed a mild stricture versus delay in [...]

Case Presentation: One-year prior, the patient had left total knee replacement complicated by acute limb ischemia requiring revascularization followed by graft infection for which she was initially on caspofungin and later switched to maintenance voriconazole treatment for candida glabrata infection. Few months later she started complaining of morning stiffness and swelling in multiple joints including [...]

Case Presentation: 63 year old female with RA on methotrexate presented with a 2 week history of fevers (Tmax of 102), nausea, and multiple episodes of diarrhea. The patient denied any recent travel, sick contacts, or antibiotic use. On admission, CT abdomen/pelvis showed extensive enterocolitis as well as thrombocytopenia with platelets of 128K. Stool GI [...]