Background: Patients with diabetic foot ulcers (DFUs) experience large burdens of morbidity, mortality, and hospital costs. Over a third of patients with diabetes will develop DFUs in their lifetime; and almost half of these patients subsequently develop diabetic foot infections (DFIs). Although it has been reported that obese patients with diabetes do not have higher [...]

Background: The total cost for treatment of pressure ulcers in the United States is estimated at more than $11 billion annually. The Braden Scale is a risk stratification tool that assesses a patient’s risk of developing a pressure ulcer. It allows clinicians to develop risk-appropriate preventative interventions. Though used widely in the acute care setting, [...]

Background: The overall incidence of Clostridium difficile infection (CDI) is higher among patients with inflammatory bowel disease (IBD). The nature of this disease association is unknown but likely involves an altered gut microbiome and impaired host immune responses. Studies on CDI in IBD patients have yielded variable and conflicting results on outcome measures such as [...]

Background: Foot amputation rates in Black patients with diabetic foot complications have been historically higher than White patients. To determine if improvements in this disparity occurred, we carried out trend analysis of lower extremity amputation rates for patients hospitalized with diabetic foot ulcers and infections (DFU/Is). Methods: Using the National Inpatient Sample database, we conducted [...]

Background: Studies have linked the use of anti-secretory agents to nosocomial complications including Clostridium difficile–induced pseudomembranous colitis and hospital acquired pneumonia. In the outpatient setting, the Federal Drug Administration has issued warnings regarding increased risk of hypomagnesemia as well as fractures of the hip, wrist, and spine with the use of proton pump inhibitors. Although [...]

Case Presentation: A 27 yo male with ulcerative colitis (UC) and childhood asthma presented with a dry cough, fever and weight loss for 6 weeks. One and a half years prior to admission, he was diagnosed with UC for which he was started on oral mesalamine 1.2 g/day. Prior to admission, he visited an outpatient [...]

Case Presentation: A 70-year-old Caucasian woman with history of hypertension, hyperlipidemia, and newly diagnosed atrial fibrillation presented with persistent exertional dyspnea, fatigue, malaise, and anorexia for the past few days. She was recently discharged for community-acquired pneumonia twice at another institution without improvement of nonproductive cough, mild proximal muscle weakness, and exertional dyspnea. She was [...]

Case Presentation: A 54-year-old male with past medical history of ulcerative colitis not on active treatment and DM type II presented to his primary care provider (PCP) with right ear pain and swelling which began a week prior. His PCP added oral clindamycin, Cortisporin otic drops, and later prednisone when his pain and swelling did [...]

Case Presentation: We present a unique case of a 37-year-old male with a recently diagnosed case of monkeypox three weeks prior and completion of Tecoviramat; who at initial presentation was thought to have an infected arteriovenous fistula (AVF) from a pox lesion likely with an abscess or necrotic process. He had a PMHx of HIV [...]

Case Presentation: A 63 year old male with no past medical history was admitted with five months of bilateral upper and lower extremity weakness as well as a pruritic, erythematous rash on his face, arms, and back. This was followed by progressive dysphagia. Initial workup, including a pectoralis muscle biopsy showing necrotizing myopathy, and MRI [...]