Case Presentation: An ADL-independent 75-year-old woman with a history of diabetes who was receiving insulin therapy visited our emergency department owing to fever and chills, which had started 3 days before the visit. At that time, her consciousness level was GCS E4V4M6, temperature was 36.8°C, pulse rate was 83 beats/minute, blood pressure was 82/46 mmHg, [...]

Case Presentation: A 43-year-old male with a past medical history of Atrial Fibrillation on Warfarin, Stage III Chronic Kidney Disease, and Chronic Systolic Heart failure (EF 15%) presented to the ED with diarrhea and dyspnea. He was found to be in Atrial fibrillation with Rapid Ventricular Response with CHF exacerbation and shock, and he was [...]

Case Presentation: A 78-year-old Japanese man with chronic heart failure and type 2 diabetes presented with a 2-day history of recurrent fever six days after the termination of a 12-day antimicrobial treatment for pyelonephritis caused by Escherichia coli. The physical examination revealed a body temperature of 38.9 °C, respiratory rate of 24 breaths per minute, [...]

Case Presentation: The patient is a 74 year-old male. He has chronic lymphocytic lymphoma, renal cell carcinoma treated with partial left nephrectomy a year ago, cryptogenic organizing pneumonia (on prednisone 15 mg daily), benign prostate hyperplasia, coronary artery disease, hypertension, hyperlipidemia, and gout.He presented with shaking chills and fever for 1 day duration. The symptoms [...]

Case Presentation: A 62 year old female with a past medical history of hypertension and diabetes presented to the emergency department with two days of fevers and lethargy. She was hypotensive despite fluid resuscitation and admitted to the intensive care unit for septic shock. Both urine cultures and initial blood cultures grew E. coli resistant [...]