Case Presentation: A 54 year-old man with a history of opioid use disorder, housing insecurity and hypoplastic myelodysplastic syndrome presented with one month of shortness of breath, productive cough, fever, and chills. He also endorsed a twenty pound weight loss over the course of three months. He had presented to an outside hospital three weeks [...]

Case Presentation: A 43-year-old female patient with no medical history presented with multiple abdominal wall abscesses. She attended a cosmetic spa four months prior where she received weight loss injections known as “carboxy therapy” to her abdomen. Subsequently, she developed enlarging painful red lesions of varying sizes at the injection sites. She underwent incision and [...]

Case Presentation: A 63-year-old male with a past medical history of end-stage renal disease status post living-related kidney transplant three years ago presented with dyspnea and joint pain. His immunosuppressive regimen included mycophenolate mofetil, prednisone, and belatacept, which was switched to everolimus due to concern for synovitis at outpatient rheumatology one month prior when he [...]

Case Presentation: A 68-year-old male with a history of heavy cigarette smoking and COPD presented with a six-month-long hacking cough with sputum production, night sweats, weight loss, and malaise. He was treated with multiple courses of azithromycin for community-acquired pneumonia without improvement. He had a history of asbestos exposure as a shipyard worker. He did [...]

Case Presentation: A 43-year-old male on peritoneal dialysis (PD) was admitted for nausea, vomiting, and abdominal pain. Ten days prior to admission, cloudy effluent was noted during PD, prompting initiation of empiric intraperitoneal vancomycin and ceftazidime therapy. He subsequently developed worsening symptoms leading to his presentation to the hospital.His past medical history was notable for [...]

Case Presentation: A 73-year-old Iraqi man with asthma and type 2 diabetes who enjoys gardening was diagnosed with seronegative rheumatoid arthritis (RA) when he presented with joint pain and swelling in both hands and wrists. He was treated with prednisone (20 mg daily) and methotrexate. One month later, he developed swelling and ulcerative papules on [...]

Case Presentation: A 38-year-old woman with no significant past medical history presented with fever, diffuse rash, and hypoesthesia. One year prior, the patient developed flesh-colored patches on her abdomen and raised lesions under her left arm. A biopsy revealed cutaneous nontuberculous mycobacterial infection with 4+ acid fast bacilli (AFB) stain, but AFB cultures were negative. [...]