Case Presentation: Anti-thyroid Drugs (ATD) such as propilthiourcil (PTU) and methimazole (MTM) can cause a number of systemic changes such as fever, rash, and respiratory symptoms (from epistaxis to diffuse alveolar hemorrhage). Guidelines almost always recommend MTM over PTU because it has fewer side effects. We present a patient diagnosed with Grave’s Disease who developed [...]

Case Presentation: A 55-year-old man with gastroesophageal reflux disease and prostate cancer status post radical prostatectomy presented with a 3-year history of non-healing skin ulcerations. He was initially diagnosed with vasculitis and started on immunosuppressive therapy. Skin lesions worsened despite high dose steroids and different immunosuppressive medications (methorexate, mycophenolate, azathioprine, cyclophosphamide). On presentation, skin examination [...]

Case Presentation: A-28-year-old male with history of asthma and bipolar disorder presented to our hospital with a 10-day old, painful rash on bilateral lower extremities. History was significant for flea bites that occurred a day before the rash started. The rash started off as 3/10 petichae on both legs, but over 2 days it rapidly [...]

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 [...]

Case Presentation: A 69 year-old man presented after experiencing fatigue and fever for two days. He complained of accompanying dyspnea with decreased exercise tolerance and new four-pillow orthopnea. He had a history of myocardial infarction, coronary artery disease status-post multi-vessel coronary artery bypass graft, heart failure with reduced ejection fraction with an implantable cardioverter defibrillator [...]

Case Presentation: A 61-year-old man with type 2 diabetes mellitus was admitted for surgical resection of left fifth metatarsal due to osteomyelitis refractory to prolonged antibiotic use. Vital signs on admission were all within normal limits; significant lab values included ESR 79 mm/hr, CRP 7.07 mg/dL, and WBC 9.2 k/uL. Following surgical debridement and amputation, [...]

Case Presentation: A 71-year-old woman who initially presented with sepsis from MSSA bacteremia was found to have an acute splenic infarct as well as a splenic artery pseudoaneurysm that was managed by coil embolization. She was discharged on a 4-week course of cefazolin for the treatment of her MSSA bacteremia. Two weeks later, she was [...]

Case Presentation: A 60-year-old male with a past medical history of hypertension, hyperlipidemia, and diabetes mellitus presented to the emergency department with a progressive lower extremity rash, abdominal discomfort, and diarrhea. The patient was hospitalized five days prior for lower extremity cellulitis and was discharged on clindamycin. After discharge, he developed a bilateral lower extremity [...]

Case Presentation: A 51-year-old female with no past medical history presented with a rash that developed a week ago which started on her right calf and then progressed all over her body. She was on ibuprofen for right knee pain for the 3 weeks before her presentation. Vital signs were normal. Laboratory tests revealed leukocytosis, [...]

Case Presentation: 65 year old man with history of end stage renal disease, ischemic cardiomyopathy, paroxysmal atrial fibrillation, diabetes presented with complaints of rash in his bilateral legs for four days. Few days later, he noticed petechial rash involving bilateral ankles and feet that started on the left side and did spread to involve bilateral [...]