Background: Patients (pts) with congestive heart failure (CHF) are at an increased risk for community-acquired bacterial pneumonia (CABP) [1]. Moreover, CABP itself and macrolide antibiotics, which current guidelines recommend for CABP treatment [2], are both associated with increased risk of cardiac events, including worsening heart failure [3,4]. Lefamulin (LEF) is a first-in-class systemic pleuromutilin antibiotic […]

Case Presentation: A 32‐year‐old man with chronic low back pain presented with tonic–clonic seizures and altered mental status approximately 12 hours after he underwent an outpatient CT myelogram with Iopamidol contrast. Headache, nausea and vomiting preceded the seizure. His temperature was 37.9°C; he had nuchal rigidity and was unresponsive but able to move all extremities. […]

Background: Congestive heart failure (CHF) is a major cause of mortality and morbidity among general population despite recent advancements in goal-directed therapies. The advent of mechanical circulatory devices, the increased availability and improvement in heart transplant techniques have improved some metrics; however, CHF patients continue to have multiple readmissions for acute exacerbations. The frequency of […]

Case Presentation: Septic arthritis of the pubic symphysis is a rare condition that can affect healthy young athletes or women who have undergone a urologic or gynecologic surgery. It is usually misdiagnosed with osteitis pubis, a sterile inflammation of the pubic symphysis in young athletes due to repetitive or strenuous activities. It accounts for fewer […]

Case Presentation: A 73 year-old man with type 2 diabetes mellitus (hemoglobin A1c 7.5), hypertension, hyperlipidemia, chronic renal failure stage 3a, and a distant 10 pack year smoking history presented with 2 weeks of substernal chest tightness and dyspnea on exertion. He was hemodynamically stable without tachypnea at rest. Examination revealed a grade 2/6 holosystolic […]

Introduction: Lyme disease is often called “The Great Imitator” as its presentation can mimic several medical conditions. It is rarely reported as a cause of lone‐persistent fever especially in adults. We report a unique case of viral co‐infection with Lyme. Case Presentation: A 57‐year‐old healthy female pediatrician was admitted for persistent fever for 2 weeks […]