Case Presentation: A 17-year-old female was transferred from an outside hospital for persistent cough, infiltrate on chest x-ray (CXR), and draining nodules on her legs and back. 1 month prior to transfer, she developed cough, shortness of breath, and malaise without fever. A CXR was consistent with pneumonia and doxycycline was initiated. 5 days later [...]

Case Presentation: A 47 y/o male with history of known esophageal adenocarcinoma and end-stage renal disease on dialysis presented to the hospital with abdominal pain and melena. The patient was diagnosed with esophageal adenocarcinoma one year prior and has had gastrointestinal bleeding in the recent past. He had an upper endoscopy one month prior which [...]

Case Presentation: A 36 year old female, with known ileocolonic Crohn disease, status post total colectomy with end ileostomy, maintained on Infliximab and Azathioprine, presented with one day history of subjective fevers and fixed, non-progressive, abdominal wall rash. Two days prior to presentation she was started on Topiramate and Celecoxib for headaches and joint pain [...]

Case Presentation: An 83-year-old man visiting from rural Mexico, presented with one-month-old diffuse, painful, multinodular subcutaneous lesions with a pruritic rash on the left leg. A week prior to admission, the patient reported new inguinal and upper extremity lesions and a violaceous, pruritic, non-painful, maculopapular rash at the waistband with progression to the upper arms. [...]

Case Presentation: Mr. A is a 53-year-old male who presented with a painful thigh. The patient was released from prison one week prior and had been living under a bridge next to a creek ever since. On the day of admission, Mr. A decided to bathed himself in the creek. As he was wading through [...]

Case Presentation: A 42-year-old male with a history of intravenous (IV) drug abuse presented with four weeks of skin lesions on his bilateral dorsal forearms and one week of associated right-hand swelling and anesthesia. Prior to the development of the skin wounds, the patient had been frequently injecting fentanyl into the veins of both forearms; [...]

Case Presentation: A 34-year-old African American male with history of HTN, HLD, obesity, T2DM complicated with ESRD on hemodialysis the past 2 years presented to our EC in Houston for progressively worsening dyspnea, volume overload and confusion. The patient had been previously receiving regular hemodialysis three times weekly. However, due to lack of transportation, he [...]

Case Presentation: A 49-year old man presented to the emergency department (ED) with dizziness and lethargy. He had a history of hypertension, anemia, and pilomatrix carcinoma (PC), a rare cutaneous malignancy. This was diagnosed one year prior and treated with wide excision with negative margins. He was lost to follow up for 7 months prior [...]

Case Presentation: A 69-year-old Brazilian female who moved to the US in the 1990s with history of COPD, hypertension, and depression (treated 5 years ago with Seroquel) presented to the ER with 2 weeks of cough, diarrhea, and post-tussive emesis. The patient was febrile to 103 F, BP 96/58, tachycardic to 110, and hypoxic to [...]

Case Presentation: This case involves a 53-year-old female with a past medical history of sigmoid colon cancer treated by resection and Capecitabine, type 2 diabetes with macro/microvascular complications, and obesity class II who presented to the emergency department with a rapidly worsening and blistering painful right leg ulceration. Associated symptoms included subjective fevers and chills. [...]