Case Presentation: This is a case of a 73-year-old male with a history of CKD stage 4 and left total knee arthroplasty in 2006, who had a recent hospital admission for left knee septic arthritis with left knee prosthesis removal and placement of an antibiotic spacer. Joint fluid cultures grew Serratia marcescens, and the patient [...]

Case Presentation: A 90 year old female, with diabetes mellitus type 2, hypertension and osteoporosis presented to our emergency room with altered mental status for 5 days. The patient had been treated for jaw osteonecrosis over the past 6 months which included multiple debridements and IV antibiotics. She was started on IV ertapenem 1g daily [...]

Case Presentation: Bacterial osteomyelitis is very challenging to treat. This is partly due to the widespread antimicrobial resistance to gram positive bacterium Staphylococcus Aureus. We present a severe case of disseminated staphylococcus aureus osteomyelitis, that includes bacteriemia, psoas abscess, infective endocarditis, osteomyelitis, septic arthritis of knee and shoulder joints. A 63-year-old woman with poorly controlled [...]

Case Presentation: A 59-year-old male with a past medical history of end-stage renal disease on hemodialysis, hypertension, diabetes mellitus, and a recent diagnosis of multi-microorganism osteomyelitis due to diabetic foot ulcer on intravenous vancomycin and ertapenem for the past 2 weeks presented to the hospital for visual and auditory hallucinations. The symptoms started shortly after [...]

Case Presentation: A 63-year-old male presented with altered mental status of one day duration. The patient’s history was significant for CAD, CKD Stage 3, and a recent whipple procedure for cholangiocarcinoma complicated by abdominal abscess requiring percutaneous drainage and prolonged course of ertapenem (renally dosed). He was admitted to the hospital with encephalopathy after having [...]