Case Presentation: A 61 year old female presented to the emergency department with 1 day of nausea, vomiting, and fever. The day prior to her symptom onset, she had undergone a colonoscopy for colon cancer screening that was normal. Her medical history was notable for splenectomy in 2000 for a hamartoma.On presentation, her temperature was [...]

Case Presentation: Ms. M is an 80 yo female with DM 2, COPD and gout, initially admitted to a tertiary care medical center in 2019 for sepsis of presumed urinary origin. She was treated with ceftriaxone and rapidly improved. Her urine culture and blood cultures from admission remained negative on hospital day 3, so she [...]

Case Presentation: A 48-year-old man presents with chief complaints of fever, nausea, vomiting, rash and discoloration of hands and feet for 1 day. He was admitted to intensive care unit for septic shock and altered mental status. Patient was intubated and started on intravenous fluids, pressor medications and broad-spectrum antibiotics (vancomycin and piperacillin/tazobactam). On day [...]