Case Presentation: A 63-year-old man with lung adenocarcinoma with multiple rib metastases and lytic spinal lesions was receiving palliative radiation treatment when computed tomography (CT) incidentally revealed a fluid collection along the anterior cecum with pneumatosis. Cultures taken during CT-guided abscess drainage were positive for piperacillin-tazobactam-sensitive enterococcus, and the patient was started on antibiotics. His […]

Case Presentation: The prevalence of thrombotic microangiopathy (TMA) in patients with systemic lupus erythematosus (SLE) is rare (1%). Recognizing TMA in patients with SLE is difficult because these diseases have many overlapping features. We present a case of a 28‐year‐old woman with SLE who presented with confusion, thrombocytopenia and acute kidney injury. The patient had […]

Case Presentation: 48-year-old female with past medical history of cirrhosis secondary to HBV (on entecavir) and EtOH, decompensated by hepatic encephalopathy and ascites, coronary artery disease s/p stenting to LAD in 2009 presented to the hospital with abdominal pain and distension for a 1-week duration. She stated that the pain radiated to her back and […]

Case Presentation: A 19 year old male with occasional marijuana and alcohol use, presented to an outside hospital with abdominal pain, nausea, vomiting, and facial flushing that developed 18 hours after he consumed 7.5g of niacin in less than 48 hours. Patient had smoked marijuana less than two weeks ago and none of his other […]