Case Presentation: A 54 year-old-woman presented with one week of progressive fatigue, shortness of breath, and productive cough.  Physical exam revealed fever of 101.6⁰ F, poor oral dentition, bilateral pulmonary crackles and left lower quadrant abdominal tenderness. Initial laboratory workup was remarkable for elevated procalcitonin which prompted initiation of broad spectrum antibiotics. Chest X-ray was [...]

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 51-year-old woman with irritable bowel syndrome presented with abdominal distention, anasarca, and altered mental status. A few weeks prior to her admission, she received an intragluteal steroid injection at another facility for recently diagnosed sciatica. On admission to outside facility, vital signs were notable for hypertension (BP 171/88). Laboratory work was significant [...]

Case Presentation: A 34-year-old man with history of injection (IV) heroin misuse, anxiety, and homelessness presents with dyspnea and pleuritic chest pain. He was recently hospitalized with Methicillin-Sensitive Staph Aureus (MSSA) tricuspid valve (TV) endocarditis complicated by acute heart failure and septic pulmonary emboli but left against medical advice. On admission he was afebrile, tachycardic [...]

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 19-year-old female without medical history presented with two days of fever and nausea. Symptoms began abruptly while camping in Canada. She denied tick bites, sick contacts, injections, and trauma other than a cut from a clean razor while shaving. At Urgent Care, she was febrile to 104.9°F, tested negative for influenza and [...]

Case Presentation: A 30 year old male with no past medical history presented with progressive shortness of breath and chest pain. He stated that two weeks ago, he removed a wooden splinter from his left finger. The finger then developed swelling and erythema that progressed to painful drainage in association with worsening of presenting symptoms. [...]