Case Presentation: A 73-year-old man with a history of atrial fibrillation on apixaban and panhypopituitarism secondary to resection of a pituitary adenoma in the 1980s presented to our hospital for chest pain. His recent history is notable for recurrent cystitis and Clostridium difficile infections requiring stress-doses of glucocorticoids; his endocrinologist had been attempting to taper […]

Case Presentation: An 89-year-old woman with history of hypothyroidism, hyponatremia, and hypertension presented with unresponsiveness and myoclonic jerking of the lower extremities.  At baseline, she was alert and oriented to person, place and time,  and independent with activities of daily living.  She took diazepam as a home medication for unclear indication.  On the morning of […]

Case Presentation: 13 year old male on Clindamycin for right preseptal cellulitis presented with increasing pain and swelling with findings of worsening visual acuity (20/80), periorbital edema, proptosis, vertical gaze impairment and chemosis. Repeat CT showed increased right periorbital cellulitis, orbital inflammation, and early subperiosteal abscess. Despite IV antibiotics, right eye ocular findings continued to progress.  […]

Case Presentation: A 65-year-old male with a past medical history significant for hypertension initially presented with episodes of double vision, fatigue and dysphagia. Physical exam was remarkable for right-sided ptosis which improved with the ice pack test. Serology was positive for anti-acetylcholine receptor antibodies. Further workup revealed a decremental response to slow (2Hz) repetitive nerve […]

Case Presentation: A 28-year-old male with a recently diagnosed HIV infection presented to the hospital with dyspnea, pleuritic chest pain and fatigue for 4 days. Six weeks prior, he was found to have HIV infection with a CD4+ cell count of 17 cells/ul and an HIV viral load of 41,399 copies/mL. He was prescribed antiretroviral […]

Background: Hospital‐acquired methicillin‐resistant Staphylococcus aureus (HA‐MRSA) infections annually affect almost 21,000 patients nationwide. Randomized controlled trials have demonstrated the efficacy of chlorhexidine gluconate (CHG) in preventing HA‐MRSA infections associated with invasive procedures. Several small studies involving CHG baths in the intensive care unit (ICU) have demonstrated a reduction in HA‐MRSA colonization and bacteremia. However, the […]