Case Presentation: An 82-year-old, Samoan male with history of poorly controlled diabetes, hypertension, COPD, and pulmonary coccidioidomycosis on fluconazole therapy (400 mg/day) was referred to the hospital by his primary doctor for treatment of a left ankle ulcer and cellulitis that had not responded to ten days of outpatient amoxicillin-clavulanate therapy. He had no constitutional [...]

Case Presentation: A 63- year-old man with a history of seizures, hepatitis C infection and multiple spinal fusion surgeries presented to the emergency room (ER) for the evaluation of back pain. Back pain was said to have commenced 3 days prior to presentation. Pain was mainly located in the lumbar region, dull in nature, rated [...]

Case Presentation: A 70 year old male with psoriatic arthritis on infliximab, hypertension, and chronic low back pain complained of three weeks of intermittent fevers, headaches and worsening back pain after returning from the Dominican Republic. He reported contact with a box turtle and a non-traumatic bird bite but denied sick contacts. In addition to [...]