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 32‐year‐old West African man with a history of malaria presented to the ER with dizziness, severe fatigue, palpitations, and dyspnea on exertion. On initial assessment, he was found to have sublingual icterus, bounding peripheral pulses, tachycardia, and a loud systolic murmur. Chest x‐ray revealed bilateral hazy lung opacities and laboratory values were […]

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 6-year-old girl with spina bifida, chiari II malformation, and shunted hydrocephalus presented with persistent discomfort of the left leg and one day of knee swelling. She has had intermittent bilateral leg pain after increased activity, however those resolved with warm bath and massage. At baseline, her gait is unsteady but she reported no major […]

Case Presentation: A 54-year-old male with history of alcoholic cirrhosis (MELD 18 on admission) presented from an outside hospital with decompensation of his cirrhosis and a worsening acute kidney injury (AKI) likely from either hepatorenal syndrome or overdiuresis (FeUrea = 27.2%). His diuretics were initially held on admission to our hospital, and he received a […]

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 […]

Background: Hospital‐acquired methicillin‐resistant Staphylococcus aureus (HA‐MRSA) infections annually affect almost 21,000 patients nationwide. Randomized controlled trials have demonstrated the efficacy of chlorhexidine gluconate (CHG) in preventing HA‐MRSA infections associated with invasive procedures. Several small studies involving CHG baths in the intensive care unit (ICU) have demonstrated a reduction in HA‐MRSA colonization and bacteremia. However, the […]

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 […]