Case Presentation: An 8 year old girl with no past medical history presented to the emergency department with sore throat, fever and nonspecific neck pain that was initially diagnosed as viral pharyngitis.  Recurrent episodes of fever and neck pain led to a secondary diagnosis of acute lymphadenitis requiring treatment with multiple courses of antibiotics.  Various […]

Case Presentation: A healthy 39-year-old man was admitted to the hospitalist service for an extensive rash that was suspicious for Stevens-Johnson Syndrome (SJS). He presented with diffuse bullae and desquamation of the pelvis and lower extremities (Image A). One week prior to admission, the patient applied topical Nigella sativa oil (colloquially known as black cumin […]

Case Presentation: A 38-year-old woman with well-controlled Crohn’s disease on immunosuppression presented to the emergency department with a three- day history of rash and fevers following antimicrobial treatment at an outside urgent care facility for presumed bacterial sinusitis. At the urgent care facility, she had received intramuscular ceftriaxone, oral azithromycin, and oral prednisone. The following […]

Case Presentation: A 65 year old man presented with a one day history of pruritic red rash that started on the feet and then progressed to his trunk and upper extremities. He denied fever, joint, urinary and gastrointestinal complaints. Examination of the skin revealed a petechial and occasionally palpable purpuric rash in the distribution of […]