Background: Acute Kidney Injury (AKI) is a common hospital problem which may lead to increased mortality, hospital costs, and increased length of stay (1). A leading cause of renal dysfunction in the inpatient population is drug nephrotoxicity. Several studies show that physician prescribers often do not take renal function into account with new or existing […]

Case Presentation: A 42-year-old man was diagnosed with AIDS after presenting to his PCP for subacute subjective fevers, unintended weight loss, headache, and generalized malaise. He was referred to infectious diseases and was started on Biktarvy for ART as well as Bactrim and Zithromax for prophylaxis for a CD4 count of 18 cells/mm3 and HIV […]

Case Presentation: A 32 years of male with membranoproliferative glomerulonephritis (MPGN) on immunosuppression presented with complaints of fever, abdominal pain and diarrhea. His stool had many WBCs, C. diff was negative and CT of the abdomen revealed enterocolitis. His anaerobic blood culture bottles grew Salmonella group from the nonTyphi subtypes. Further history disclosed that he […]

Case Presentation: A 28-year-old male with a recently diagnosed HIV infection presented to the hospital with dyspnea, pleuritic chest pain and fatigue for 4 days. Six weeks prior, he was found to have HIV infection with a CD4+ cell count of 17 cells/ul and an HIV viral load of 41,399 copies/mL. He was prescribed antiretroviral […]

Case Presentation: An undomiciled 48-year-old man with HIV presented with fever, chills, rigors, and bilateral leg swelling with pain for 1 week. He had developed worsening painful weeping ulceration most prominently over his right leg below the knee after exposure to water during a series of thunderstorms over the week prior. Physical examination revealed fever, […]

Case Presentation: 33-year-old male with metastatic germ cell testicular cancer to the lungs initially presented with worsening headaches. Imaging showed significant disease progression with new intracranial metastases in the right parietal and occipital lobes. He underwent autologous stem cell transplant complicated by pancytopenia. Three days later developed sudden onset typical chest pain at rest associated […]