Case Presentation: A 69-year-old woman with metastatic breast cancer, atrial fibrillation (on coumadin) and CKD stage III was admitted after a fall. She was treated for pneumonia with ceftriaxone and azithromycin. On hospital day 2, the patient became encephalopathic, hypotensive and required endotracheal intubation for hypercapneic respiratory failure. Antibiotics were broadened to vancomycin and piperacillin/tazobactam.On [...]

Case Presentation: A 54-year-old male was admitted for six weeks of progressive lower extremity weakness and bowel and bladder incontinence. Work-up revealed an epidural abscess at T12-S1 with severe spinal stenosis at L1 and L2. He was started in empiric vancomycin and ceftriaxone before undergoing a T12-L5 hemilaminectomy and abscess drainage. During the surgery, absorbable [...]

Case Presentation: A 69 y/o male with no known PMH with a complicated hospital course highlighted by PE s/p TPA, AWSTEMI s/p DES to pLAD and septic shock leading to AKI requiring CVVH. For septic shock, Vancomycin, Zosyn, Ertapenem, and Ceftriaxone were started empirically. Infectious workup was only remarkable for klebsiella UTI which was found sensitive [...]

Case Presentation: 63 year old female with RA on methotrexate presented with a 2 week history of fevers (Tmax of 102), nausea, and multiple episodes of diarrhea. The patient denied any recent travel, sick contacts, or antibiotic use. On admission, CT abdomen/pelvis showed extensive enterocolitis as well as thrombocytopenia with platelets of 128K. Stool GI [...]