Case Presentation: A 51- year old male with a past medical history of cirrhosis due to sarcoidosis, was admitted with worsening left lower extremity pain and swelling for two days. He remembered a pop in his left leg two days ago after performing squats followed by severe left lower extremity pain the morning after. Additionally, [...]

Case Presentation: A 55-year old female with cirrhosis secondary to chronic hepatitis B infection non-adherent with Entecavir therapy presented with altered mental status, diarrhea, abdominal pain, and emesis. Vital signs revealed hypotension, tachycardia, and tachypnea. Exam revealed somnolence and significant abdominal distension without guarding, rebound, or rigidity. Laboratory evaluation was remarkable for a leukocytosis to [...]

Case Presentation: A 51-year-old male with a history of alcoholic liver cirrhosis presented with severe bilateral leg pain associated with nausea, vomiting, and diarrhea, after consuming raw oysters 36 hours prior to admission. Physical exam revealed an encephalopathic obese man with a temperature of 38.2oC, heart rate of 102 bpm, and BP of 85/50 mmHg. [...]

Case Presentation: IntroductionVibrio vulnificus is a gram-negative bacterium that can cause serious and sometimes fatal infections in humans. (1) It is the leading cause of shellfish-associated deaths in the United States.(2) Infections due to V. vulnificus are most common in individuals who have chronic, underlying illness like liver disease or hemochromatosis are at greatest risk.(2) [...]