Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical […]

Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical […]

Case Presentation: A 47-year-old previously healthy female presented with several months of non-productive cough, head congestion, then developed progressive dyspnea on exertion, night sweats. She was initially treated for sinusitis as an outpatient. Physical exam demonstrated mild facial edema and reduced breath sounds in the right upper lobe. CT angiography revealed a large mediastinal mass […]

Case Presentation: A 58-year-old male with limited prior health care utilization with presumed longstanding untreated HTN, otherwise unknown medical history, presented to a rural hospital with lethargy, confusion, acute renal failure of unknown duration. His personal history is significant for being exposed to pigs and chicken. On exam, he had a left lower extremity wound […]

Case Presentation: A 69-year old male with past medical history significant for granulomatosis with polyangiitis and lower extremity deep vein thrombosis (DVT) presented with worsening pain, swelling and erythema of his right lower extremity. He reported exposure to stagnant rainwater in his yard a day prior to admission. Hours after the exposure he developed fever […]

Case Presentation: A 43-year-old female presented with a three-week history of shortness of breath and abdominal pain. The patient denied alcohol use and stated that she previously had regular menstrual periods until 14 months ago when she entered menopause. Physical exam on admission was significant for jugular venous distension, scleral icterus, mild bibasilar crackles, palpable […]