Case Presentation: A 24 yo male with a history of juvenile idiopathic arthritis ( JIA), macrophage activation syndrome (MAS), and pyoderma gangrenosum presented with fever to 102.9F and rash for 2 days. He had a diffuse, erythematous, un-raised, itchy rash which started on his arms and spread to his chest and back. He had recently […]

Case Presentation: A 39 year‐old homeless female with a history of schizophrenia was brought to the ED by police after being found walking in the street with an unsteady gait. The patient was a poor historian. She complained of 2 months of shortness of breath and weakness, endorsed lower extremity swelling, and reported several years […]

Case Presentation: A 40-year-old Caucasian male with a past medical history of polysubstance abuse, with a preference for cocaine, presented to the emergency department complaining of right groin pain. He was diagnosed with purulent cellulitis and broad spectrum intravenous antibiotics were initiated. Initial blood work found low WBC (3.7 x 103/mcL), with a low neutrophilic […]

Case Presentation: , A 21 year‐old Caucasian man with no significant past medical history was referred for night sweats and fatigue. The patient denied foreign travel, sick contacts, dental appointments and risky sexual encounters. Physical examination revealed a young man with with stable vital signs with a loud blowing systolic murmur heard best at cardiac […]