Case Presentation: A 46 year-old gentleman presents with an acute worsening of his chronic low back pain with radiation and paresthesias down his left leg. On admission, he was febrile, tachycardiac and uncomfortable appearing. He has point tenderness of lumbar spine, normal rectal tone, 2+  patellar, Achilles reflexes and 5/5 strength in bilateral upper and [...]

Case Presentation: A 68-year-old African-American woman with known history of refractory IgG kappa multiple myeloma presented with fever, congestion, and purulent drainage from both ears that had been progressively worsening over the past week. She initially attributed her symptoms to sinus infection and self-treated with a Neti Pot using non-sterile water. The Neti Pot was [...]

Case Presentation: A 56-year-old male with a past medical history of large B cell lymphoma on ibrutinib with recently diagnosed COVID pneumonia, and recurrent ascites due to portal hypertension, presented to the hospital due to shortness of breath, and fever for one week. Physical examination was unremarkable on admission except for fever. His initial labs [...]

Case Presentation: Prosthetic valve endocarditis (PVE) is predominantly caused by staphylococcus aureusand streptococcus viridian. Infective endocarditis (IE) due to Burkholderia cepacia israre. We present a case of a 27-year-old man with history of injection drug use, IE of aorticand mitral valve status post replacement with bioprosthetic valves 6 months ago, whopresented with fever, chills, dyspnea and [...]

Case Presentation: A 37-year-old male with a history of intravenous drug use (IVDU), recurrent skin infections, and treated hepatitis C presented to the ED with 4 days of loose bloody stools, nausea, chest pain with radiation to the back, and tender nodular lesions on his bilateral forearms. He denied recent IVDU.Initial exam, vitals, and labs [...]