Case Presentation: A 76-year old man presented to emergency department for 2-week history of right buttock pain, swelling, and drainage. On presentation, he had a temperature of 101.3 F, otherwise hemodynamically stable. Physical examination revealed right buttock erythema and serosanguinous purulence (figure). There were no cardiac murmurs. Leukocytes count was within normal limits. CT abdomen […]

Case Presentation: A 68-year-old man with history of alcohol use and rheumatoid arthritis (RA) treated with methotrexate (MTX), hydroxychloroquine, and infliximab since 2006 presented with recurrent fevers, unintentional weight loss and weakness. When symptoms started 2 months prior, he was found to have mild transaminitis, hypoalbuminemia, prolonged international normalized ratio, and new pancytopenia, prompting discontinuation […]