Case Presentation: A 60-year-old female with history of a hip replacement complicated with MRSA s/p multiple revisions and sick sinus syndrome with pacer placed in 2004, presented to the ED with an “itchy rash most tender at the pacemaker site” where a cardiovascular implantable electronic device (CIED) within a TYRx envelope was placed two days [...]

Case Presentation: New onset rash in a hospitalized patient is a frequent challenge. While common presentations of drug associated rash are readily recognized, less common presentations can be mis-identified. Here we present the clincal vignette of a 62-year-old female patient with a past medical history of hypertension who was hospitalized with severe COVID-19 pneumonia and [...]

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 [...]