Case Presentation: A 77 year-old man with ulcerative colitis (UC), which was well controlled on mesalamine, presented to the ED with diffuse and intensely pruritic erythematous vesiculopapular and bullous lesions affecting his face, neck, oral cavity, bilateral upper extremities, palms and dorsa of hands, genitals, lower abdomen, and bilateral lower extremities that had manifested over […]

Case Presentation: A 45-year-old Japanese woman with no significant medical history presented to a primary care physician with a four-week history of fever and coughing. She had also developed fatigue and peripheral edema and was therefore admitted to another hospital. On presentation, her body temperature was 37.5℃, pulse was 98 beats per minute, blood pressure […]

Case Presentation: 54-year-old male patient diabetes mellitus type II presented with pain and swelling involving small joints of bilateral hands with wrists. Synovitis involving bilateral interphalangeal, metacarpo-phalangeal were noted.Labs revealed leukocytosis to 15.7K/microL. Hemoglobin was 7.7 g/dL. Anemia work up revealed low serum iron level of 23 µg/dL, low TIBC at 167ug/dL with saturation of […]

Case Presentation:      A 6 yr old female presented with 14 days of fever to 105. She had 11 days of right flank pain and was sleeping more. Outpatient work-up revealed negative urine cx, Monospot, tick panel, CXR, chest CT and re-assuring CBC and BMP. She received 2 days of SMZ-TMP while the urine […]

Case Presentation: We present a 71-year-old male with stage IV melanoma on cycle 17 of Nivolumab admitted after presenting with altered mental status, hypotension, tachycardia, fever of 40.5°C, hypoxia requiring BiPAP, and grade 3 maculopapular rash. Labs revealed serum creatinine of 1.68, platelet count of 86, fibrinogen of 260, PT 11.2, PTT 42, d-dimer > […]