Case Presentation: A 33-year-old man with a history of human immunodeficiency virus (HIV, 2007, well-controlled on antiretrovirals) and recent rectal chlamydia (on routine screening) presented to the emergency department (ED) with a five-day history of profuse rectal bleeding, pain, and tenesmus; preceded by a prodrome of fever, myalgias, productive cough, and a painful papular skin [...]

Case Presentation: A 59-year-old male with a history of HIV, HBV, and amphetamine use disorder presented with a three-day history of fever, diffuse abdominal pain, and rectal pain with passage of thick, clear-yellow fluid. The patient engaged in receptive anal intercourse and had a history of injecting methamphetamine per rectum. Patient was septic on admission [...]

Case Presentation: The first patient is a 47-year-old African-American male who presented with severe hand pain and purulent wound. Initial laboratory findings revealed elevated liver enzymes, elevated inflammatory markers, and leukocytosis. The patient underwent incision and drainage of the hand wound followed by antibiotic administration. The patient then developed diffuse, pustular lesions with an umbilicated [...]

Case Presentation: A sixty-six-year-old male with a history of Monoclonal Gammopathy of Undetermined Significance (MGUS), Atrial Fibrillation, and Rheumatic Heart Disease requiring aortic and mitral valvuloplasty, was on warfarin with an INR goal of 3.5-4 due to multiple hypercoagulable factors and recurrent Transient Ischemic Attacks (TIAs) at INR 2.5-3.5. Post prostate cancer radiation, he developed [...]