Case Presentation: 65 year old man with history of end stage renal disease, ischemic cardiomyopathy, paroxysmal atrial fibrillation, diabetes presented with complaints of rash in his bilateral legs for four days. Few days later, he noticed petechial rash involving bilateral ankles and feet that started on the left side and did spread to involve bilateral […]

Case Presentation: A 76 y/o Korean American man presented with fever, chills, poor appetite, fatigue and dark colored urine. He often hikes in the woods but does not remember any tick or insect bites. He denies any recent blood transfusion or any recent travel outside of PA. At the time of initial presentation, he had […]