Case Presentation: A 56-year-old male with history of spinal epidural abscess being treated with IV daptomycin, presented to the emergency department with a fever of 104° F. The patient had a history of recurrent epidural abscesses, requiring multiple surgical washouts, following past lumbar diskectomy subsequent to lumbar radiculopathy. Previous cultures were positive for two strains [...]

Case Presentation: A 35-year female presented to the ED with complaints of worsening abdominal pain and distension without nausea, vomiting or diarrhea. The abdominal pain was diffuse in nature without radiation. She had fatigue, chills, intermittent fevers, and 10 pounds of weight loss over a month. The review of systems was otherwise negative. She was [...]

Case Presentation: A sixty-five-year-old man presented to the hospital with coffee ground emesis and generalized abdominal pain. He was hemodynamically stable, and imaging showed a small bowel obstruction with ileitis. He underwent laparoscopic omental band lysis and improved without further episodes of bleeding. On post-operative day two, the patient was to be discharged home and [...]

Case Presentation: A 30-year-old male with past medical history of seizure disorder, hepatitis C, depression and intravenous drug abuse presented with fever, progressive generalized myalgia and cough of three days duration. He also endorsed migratory polyarthralgia and a recent dental surgery. He denied any intravenous drug use in the past three years. Physical exam was [...]

Case Presentation: A 27-year-old male with no significant medical history presented with a 3-day history of peri-umbilical pain localized to the right iliac fossa. Pain was sharp in nature, constant and aggravated by movement. No bowel or urinary symptoms and no previous abdominal surgeries. No history of inflammatory bowel disease or sarcoidosis. Upon admission, had [...]

Case Presentation: A 90-year female with a recent onset of vancomycin induced hypersensitivity reaction presents to the ED with sepsis and generalized disseminated rash. She recently underwent a surgery that was complicated with pseudomonas infection and was treated with vancomycin and Zosyn. However, she developed a pruritic, erythematous macular rash on her abdomen and vancomycin [...]

Case Presentation: A 29-year-old Japanese man who attended to an orthopedist in an outside hospital with multiple fractures of rib bones and a compression fracture of vertebral bones was referred to our hospital for further investigation for the tentative diagnosis of rheumatoid arthritis worried about increased serum level of matrix metalloproteinase-3. In advance of the [...]

Case Presentation: 50 y.o African American male with a history of schizophrenia presented for headache, blurred vision and acute onset aphasia. On exam, patient was alert, but unable to follow commands. He was noted to have poor dentition. Lab studies revealed WBC count of 4.1 with 47% neutrophils. BMP and liver function studies were unremarkable. [...]

Case Presentation: A 58-year-old woman presented with 10 hours of left lower extremity pain and decreased urine output. The patient had a history of total thyroidectomy decades prior and had been prescribed levothyroxine. It was stopped two months prior to admission for low TSH.She had 2+ edema bilaterally.Labs returned with a creatinine of 6.8 mg/dL, [...]

Case Presentation: A 73-year-old male patient was admitted to our hospital for fever, edema, and painful extremities. He has long-standing type 2 diabetes mellitus of 23 years. Four months before the present hospitalization, despite the body temperature of 37°C, he noticed edema, painful bilateral dorsum of the hands and feet, and poor physical condition. One [...]