Case Presentation: A 57-year-old female with a medical history of uncontrolled diabetes with a hemoglobin A1C of 14, hypertension, and a previous right-sided stroke presented to the emergency department with a four-day history of nausea, vomiting, watery diarrhea, fever and chills. On presentation, the patient was hemodynamic stable with no fevers. Physical examination revealed no [...]

Case Presentation: 54 y.o female with a pmh of DM and HTN presented with 3 days of fever, chills and left flank discomfort. The patient reported the pain to be indolent in onset, dull and persistent w/o radiation. Fever, chills and anorexia began 2 days after onset of pain.  All other review of systems were [...]

Case Presentation: A 37 year old woman with past medical history of septic shock secondary to urinary tract infection (UTI), systemic lupus erythematosus treated with oral prednisone 10 mg/day, functional quadriplegia due to transverse myelitis, chronic sacral decubitus ulcers, chronic indwelling urinary catheter, morbid obesity, hypertension, and diabetes mellitus type 2 presented to the emergency [...]

Case Presentation: A 31-year-old female with diabetes mellitus, history of IV drug use on methadone, and untreated HCV infection presented with shortness of breath for one week. She developed a cough productive of green sputum with associated shortness of breath, subjective fevers, chills, pleuritic chest pain, nausea, and vomiting. One day prior to symptoms starting, [...]

Case Presentation: This is a 58 year old male with a past medical history of MDD, GAD, history of polysubstance abuse, history of enterococcus bacteremia complicated by aortic valve endocarditis status post valvular replacement and hemorrhagic stroke who was admitted to the hospital for urosepsis. Of note, this patient was previously hospitalized for Lactobacillus bacteremia [...]

Case Presentation: A 55-year-old male with a remote history of intravenous drug use leading to aortic valve endocarditis and bioprosthetic aortic valve replacement, Bentall ascending aortic arch repair, and Micra leadless pacemaker placement, presented to his primary care physician with a petechial rash on his lower extremities. He noted several weeks of malaise and low-grade [...]