Background: The overall incidence of Clostridium difficile infection (CDI) is higher among patients with inflammatory bowel disease (IBD). The nature of this disease association is unknown but likely involves an altered gut microbiome and impaired host immune responses. Studies on CDI in IBD patients have yielded variable and conflicting results on outcome measures such as [...]

Case Presentation: A 66-year-old man with a history of stage IIId melanoma, who received 6 cycles of Nivolumab, presented with anorexia and persistent large-volume diarrhea. Initial workup included a non-elevated white blood cell count of 6.9 k/mm3 and a creatinine of 1.6 mg/dL from baseline creatinine of 0.8 mg/dL. CT imaging of the abdomen showed [...]

Case Presentation: A 27 yo male with ulcerative colitis (UC) and childhood asthma presented with a dry cough, fever and weight loss for 6 weeks. One and a half years prior to admission, he was diagnosed with UC for which he was started on oral mesalamine 1.2 g/day. Prior to admission, he visited an outpatient [...]

Case Presentation: A 23-year-old female with a history of acne presented with abdominal pain and bloody diarrhea for 1 day. The pain was crampy in nature and located in her lower abdomen, without radiation or modifying factors.  She was passing frequent watery bowel movements with a small amount of blood. She denied any recent travel, [...]

Case Presentation: A 65 year old African American male with a past medical history of non-obstructive CAD and chronic hepatitis C with cirrhosis presented to the emergency room with one episode of hematochezia.  Vital signs on presentation were significant for BP 104/61 and HR 103. A digital rectal exam revealed bright red blood. Labs were [...]

Case Presentation: A 54-year-old male with past medical history of ulcerative colitis not on active treatment and DM type II presented to his primary care provider (PCP) with right ear pain and swelling which began a week prior. His PCP added oral clindamycin, Cortisporin otic drops, and later prednisone when his pain and swelling did [...]

Case Presentation: A 70-year-old male with a history of type 2 diabetes mellitus complicated by neurogenic bladder with indwelling catheter and severe peripheral vascular disease status post bilateral below knee amputations (BKAs) presented with watery diarrhea and nausea for 1 day. Both amputations were in the preceding four months. He required multiple rounds of antibiotics [...]

Case Presentation: A 78-year-old man with heart failure, chronic kidney disease, and hereditary spastic paralysis was hospitalized with hyperkalemia to 7.7 mmol/L. He was admitted a month prior with heart failure and discharged on lisinopril with a new prescription for spironolactone. The patient had decreased appetite, limited oral intake, mild nausea, and no vomiting with [...]

Case Presentation: This is a case of a 37-year-old female with a 9 month history of moderate ulcerative pancolitis (UC) who was admitted with worsening abdominal pain, a 30 lb weight loss, nausea, vomiting, and bloody diarrhea. She had been treated with mesalamine, vedolizumab, and infliximab with no improvement and refused corticosteroid therapy due to [...]

Case Presentation: A 77-year-old female with breast cancer on capecitabine (Xeloda) initiated 3 weeks ago presented with mouth pain and diarrhea for the last 10 days. She denied any fevers, sick contacts, or recent antibiotic use. Her last dose of capecitabine was 1 week prior. On arrival, she was hypotensive and tachycardic; physical exam was [...]