Case Presentation: A 70 year old male with psoriatic arthritis on infliximab, hypertension, and chronic low back pain complained of three weeks of intermittent fevers, headaches and worsening back pain after returning from the Dominican Republic. He reported contact with a box turtle and a non-traumatic bird bite but denied sick contacts. In addition to […]

Case Presentation: A 37-year-old man presented with 10 days of right flank pain.  It was of variable intensity, but never completely went away after onset.  He had episodic nausea and vomiting and several episodes of blood tinged urine.  He denied trauma or fever.  He had been seen at an outside facility several days prior and […]