Case Presentation: 70 year old male admitted for a complicated UTI was placed on piperacillin / tazobactam empirically and subsequently developed abdominal distension and small bowel obstruction. He was admitted to the ICU for fulminant colitis secondary to severe Clostridium Difficile with concern for toxic megacolon. Labs showed a WBC of 34 along with an [...]

Case Presentation: The patient is a complex patient with multiple hospitalizations. Prior to her hospital course her past medical history was notable for Roux-en-Y gastric bypass, alcohol abuse, and dilated cardiomyopathy with preserved EF. Patient original presentation was related to a perforated marginal ulcer requiring laparoscopic Graham patch. The ICU course was complicated by an [...]

Case Presentation: A 32 years of male with membranoproliferative glomerulonephritis (MPGN) on immunosuppression presented with complaints of fever, abdominal pain and diarrhea. His stool had many WBCs, C. diff was negative and CT of the abdomen revealed enterocolitis. His anaerobic blood culture bottles grew Salmonella group from the nonTyphi subtypes. Further history disclosed that he [...]

Case Presentation: A 59-year-old male presented to the ED with tachycardia, hypotension, and three days of vomiting and abdominal pain. He was recently hospitalized for acute hypoxic respiratory failure after several missed hemodialysis sessions. His comorbidities include end-stage renal disease (ESRD) on hemodialysis, peripheral neuropathy on tramadol, and peritoneal mesothelioma not on treatment. Initial labs [...]