Case Presentation: Klebsiella Pneumoniae is a gram-negative bacterium known to cause pneumonia and urinary tract infections. The hypermucoviscosity phenotype of K. pneumoniae is commonly tested for using the string test. Clinical studies have shown an association between the hypermucoviscosity phenotype and a highly virulent tissue abscess syndrome, causing liver abscesses, endophthalmitis and septic thrombophlebitis. Most [...]

Case Presentation: A 57 year-old male with history of alcoholic cirrhosis, hypertension, and stage IV chronic kidney disease (CKD) presented to the hospital with bilateral lower extremity edema and shortness of breath. He was diagnosed with worsening CKD meeting criteria for hemodialysis, acute decompensated cirrhosis, severe sepsis due to spontaneous bacterial peritonitis complicated by pansensitive [...]

Case Presentation: A 53 year old Russian man with no significant past medical history initially presented to an ophthalmology clinic with two days of progressively worsening, near-total left visual field loss associated with a one-week duration of fever, chills, and cough. He was diagnosed with bacterial endophthalmitis. His vitreous fluid was sampled, and he was [...]

Case Presentation: A 68-year-old female presented to the emergency department with altered mental status. A few weeks prior to presentation, she was found to have a viral influenza infection which was managed supportively. Approximately one week prior to presentation, she had started developing a productive cough associated with body aches and fatigue, and eventually developed [...]

Case Presentation: A 32-year-old male with no significant past medical history presented to the emergency department with a 3-day history of anorexia, fever, and a rash after returning from a trip to Colorado. Additionally, he endorsed an 8-pound weight gain and dyspnea on exertion.Upon presentation, he was febrile, tachycardic and had a diffuse targetoid rash [...]

Case Presentation: A 55-year-old woman with intravenous polysubstance abuse presented with a 1-week history of back pain, fever, and cough with blood-tinged sputum. Vital sign on admission showed tachycardia and hypotension but she responded well to fluid resuscitation. A pansystolic murmur grade 2 was noted. There was diffuse midline and paraspinal tenderness over the back. [...]

Case Presentation: A 68-year-old male with a pituitary adenoma resected 6 months ago complicated by panhypopituitarism on oral hydrocortisone, presented to the ED with acute progressive altered mental status, headache, and fatigue. On the day of presentation, he became confused to the point where he could not dress himself. Vitals were significant for HR 98. [...]

Case Presentation: Patient is a 37-year-old male with a history of HIV, Kaposi’s sarcoma, substance abuse, Hepatitis C, and heart failure. Patient was previously treated for cryptococcal meningitis, neurosyphilis, VZV encephalitis, and ESBL UTI. He presents to the hospital due to shortness of breath, facial pain, malaise, neck stiffness, and abdominal pain with bilious vomiting. [...]

Case Presentation: A 57-year-old woman with a history of morbid obesity, cholecystectomy, and prior choledocholithiasis with placement of biliary stents presented with nausea, vomiting, rigors, and fever with epigastric pain radiating to her back. Cardiopulmonary, neurological, and skin exams were unremarkable. Initial laboratory studies showed a white blood cell count of 10.7 x 10^3/µL, AST [...]

Case Presentation: 51-year-old female with a past medical history of end-stage renal disease on intermittent dialysis and a recent vitreous hemorrhage status post pars plana vitrectomy with endo-laser photocoagulation 2 days prior to admission, presented with post-operative severe bilateral eye pain, headaches, and fevers. She was diagnosed with acute angle-closure glaucoma in the left eye [...]