Background: Data is emerging on the efficacy of fecal microbial transplantation (FMT) for recurrent clostridium difficile infection (CDI) management with success rates of 80-90% in general population. Immunocompromised patients continue to be excluded from randomized trials involving FMT due to concerns related to its safety and efficacy. Current guidelines recommend caution with FMT in immunocompromised [...]

Case Presentation: A 36 year old male from Central America who immigrated to the United States ten years ago presented with cough and headache accompanied with fevers. He did not have any past medical conditions. On admission his vitals were T 39.1 C, HR 114, RR 20, BP 129/85 mmHg. He was noted to have oral [...]

Case Presentation: A 53-year-old Filipino woman with a history of lupus nephritis status post renal transplantation presented with 1 month of the right upper quadrant (RUQ), lower abdominal pain and a new fever. Her RUQ pain radiated to her back and worsened after meals, while her lower abdominal pain had no clear triggers. She reported [...]

Case Presentation: A 24-year-old male with no significant past medical history presented with five days of abdominal pain and lower extremity aching. He also reported subjective fevers, headache, emesis, and decreased appetite with a five-pound weight loss. On initial presentation, he was febrile to 100.9°F and physical exam was notable for diffuse abdominal pain, tender [...]

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 [...]

Case Presentation: A 68-year-old African-American woman with known history of refractory IgG kappa multiple myeloma presented with fever, congestion, and purulent drainage from both ears that had been progressively worsening over the past week. She initially attributed her symptoms to sinus infection and self-treated with a Neti Pot using non-sterile water. The Neti Pot was [...]

Case Presentation: A 57-year-old man with past medical history of hypertension and left partial nephrectomy for renal cell carcinoma presented to the emergency department with several days of fevers, diarrhea, and fatigue. On examination, the patient was lethargic and febrile to 103°F with a blood pressure of 80/50mmHg. His labs were notable for an elevated [...]