Case Presentation: A 63-year-old woman with multiple sclerosis, hypertension, and venous insufficiency was admitted with shock and diffuse rash. Two months earlier, she had a confluent, erythematous, pruritic, painful, bilateral foot rash that spread from the dorsi to the ankles with associated swelling. Clotrimazole resulted in mild improvement. Two weeks prior to admission, she developed [...]

Case Presentation: FM is a 44 yo black female with a history of mixed connective tissue disorder who presented to the emergency room with worsening pain in her left wrist, facial swelling and worsening ulcers and rash on her face.  The rash on her ears and face started 2 days prior.  She had been off [...]

Case Presentation: A 57-year-old man presented with three weeks of palpable petechial rash, abdominal pain, polyarthralgia and edema. The rash started as “red dots” on his abdomen and spread throughout his body. On exam, he exhibited diffuse palpable purpura with blistering to his bilateral feet. Initial work up was notable for creatinine (Cr) 3.30 from [...]

Case Presentation: A 19-year old Caucasian female with a history of atopic dermatitis and mild asthma developed an erythematous maculopapular rash on her bilateral palms and wrists, right-sided tender cervical lymphadenopathy, and nightly fevers and headaches five days after returning from a one-month trip to Cambodia. She presented two weeks after returning from her trip [...]

Case Presentation: A 47-year-old man with a history of metastatic colon cancer status post resection and rheumatoid arthritis presented to the emergency department with 4 days of fever, shortness of breath, fatigue and myalgias. He described fevers in a periodic pattern with spikes occurring about 3 times per day. He was found to be tachycardic [...]

Case Presentation: A 21 year old man presented to his primary care doctor with 4 days of fever and pruritic rash on his hands and feet. Labs showed leukocytosis and transaminitis. He was started on doxycycline for Rocky Mountain Spotted Fever, however tick borne serologies, MonoSpot, HIV, RPR and hepatidities were ultimately negative. He presented [...]

Case Presentation: A 23-year-old female with a history of epilepsy presented to the emergency department (ED) for five days of tachycardia, oral ulcerations, and worsening palmar rash. She had presented to the ED three days prior with oral ulcers and dysphagia and was diagnosed with hand, foot, and mouth disease. On representation, her ulcers had [...]

Case Presentation: A 63-year-old Hispanic man from Mexico, with a history of hypertension and obesity, presented in September to an outside hospital with high fevers. He worked as a truck driver primarily in Arizona. He had a witnessed seizure and developed persistent altered mental status. The patient rapidly decompensated into septic shock requiring vasopressors, and [...]

Case Presentation: A 57-day old ex-term, Caucasian female presented with one day of diffuse rash and fever in the setting of congestion and a sick sibling. Her rash was initially attributed to viral erythema multiforme. She was well-appearing but given vulnerable age and elevated band count, she was admitted for observation. With improvement of her [...]

Case Presentation: A 78-year-old man with atrial fibrillation on amiodarone and rivaroxaban, heart failure with reduced ejection fraction (HFrEF) on metoprolol and furosemide, hypertension on amlodipine and lisinopril, type 2 diabetes on metformin, and chronic kidney disease, presented with several weeks of progressive lethargy and confusion in the setting of chronic functional and cognitive decline.He [...]