Case Presentation: A 48-year-old female with spina bifida was admitted for sepsis secondary to sacral osteomyelitis. She improved with broad-spectrum antibiotics, and her antibiotic regimen was narrowed to Zosyn (piperacillin + tazobactam) to complete a 6-week course. On hospital day 12, discharge was delayed pending insurance approval of an air mattress for home. Three days [...]

Case Presentation: A 79-year-old woman with hypertension and hyperlipidemia arrived to the ER after a syncopal episode. She was found in intermittent polymorphic ventricular tachycardia (VT). She was treated medically, briefly regaining sinus rhythm with possible ischemic changes (Figure 1). She was transferred to a cardiac catheterization capable facility. The study showed proximal left anterior [...]

Case Presentation: Diclofenac is a routinely prescribed non-steroidal anti-inflammatory agent in hospital with well-recognized hepatotoxic potential. However, there are only two reported cases of topical diclofenac-induced liver injury in literature. Herein, we describe a case of a 94-year-old man with Paget’s disease and osteoarthritis, who developed acute hepatotoxicity after four months of application of topical [...]

Case Presentation: A previously healthy 38-year-old man presented with 8 days of intermittent colicky RUQ pain and jaundice. He denied any OTC or illicit drug use but did report daily alcohol use. On admission HAV, HBV, HCV, and HIV 1 & 2 screening, urine drug screen, and autoimmune workup were negative. Ceruloplasmin, serum copper, serum [...]

Case Presentation: In September 2021, a 53-year-old male with a BMI of 30.91 and no history of alcohol use was diagnosed with advanced prostate cancer, indicated by a PSA level of 111. A transrectal ultrasound-guided prostate biopsy revealed Gleason score 4+5 prostate adenocarcinoma. In February 2022, the patient initiated treatment with Androgen Deprivation Therapy (ADT) [...]

Case Presentation: A 40 year old previously healthy female was incidentally found to have elevated transaminases on routine lab work. She was sent to our hospital for further evaluation. On admission, she complained of fatigue, right sided abdominal discomfort, and jaundice of a few weeks. She denied taking prescription medications but reported taking a supplement [...]

Case Presentation: A 74-year-old male with a history of coronary artery disease and atrial fibrillation presented with shortness of breath, orthopnea and leg edema of 2 weeks duration. He denied any chest pain, palpitations, or lightheadedness. He had no known allergies. On examination, blood pressure was 190/100 mmHg, pulse 82/minute, respiratory rate 28/minute with oxygen [...]

Case Presentation: We present the case of a 70-year-old man who developed MSSA bacteremia after removal of a spinal stimulator. The bacteremia cleared with cefazolin treatment, but he developed an MSSA psoas abscess. He underwent abscess source reduction and was started on oxacillin, based on culture sensitivities. Unfortunately, he developed encephalopathy and was restarted on [...]

Case Presentation: A 70-year-old female with coronary artery disease (s/p drug-eluting stent x 2 10 years ago), Type 2 Diabetes Mellitus, rheumatoid arthritis, Chronic Obstructive Pulmonary Disease, and remote history of bladder cancer presented to the emergency department with two weeks of nausea, jaundice, dark colored urine, loss of appetite, and clay-colored stool. The patient [...]

Case Presentation: A 40-year-old female with adult-onset Still’s disease (AoSD) refractory to methylprednisolone and who had been recently started on anakinra 2 months prior to hospitalization was admitted with 2 weeks of fatigue, nausea, diffuse pruritis, jaundice, and intermittent fevers and rash. Exam was notable for jaundice and salmon-colored rashes on her trunk and back. [...]