Case Presentation: A 55 year-old previously incarcerated male with a history of treated tuberculosis presented to the emergency department (ED) with right hand infection. On admission, he was hypoxic with notable skin lesions on bilateral hands and face. He denied any recent travel. He had a remote employment history of yardwork, but not within the […]

Case Presentation: A 70 year old woman with no known past medical history presented to a district hospital in Hinche, in Haiti’s Central Plateau, with symptoms of dyspnea and lower extremity edema. Her family reported the symptoms had been present for eight days. On admission, she had a blood pressure of 80/40, heart rate of […]