Case Presentation: A 50 year old man with history of bicuspid aortic valve and failed mechanical valve replacement at age 31 had repeat bioprosthetic porcine aortic valve replacement 2 years later, he developed one week of night sweats, fevers, confusion, a purpuric rash over his lower extremities and swelling in his left wrist and right […]

Case Presentation: Talaromycosis (formerly known as Penicilliosis) is a rare fungal disease that predominantly affects immunocompromised patients, such as those with HIV and low CD4 cell counts, from endemic regions (e.g., Southeast Asia). There have been a limited number of cases reported worldwide, with a travel-related exposure. We present a case of an immunocompetent patient […]