Case Presentation: A 32-year-old male with a past medical history of hepatitis C, intravenous opioid abuse, and chronic non-healing ulcers of bilateral lower extremities presented to the ED out of concern for possible infection in his legs. He reported open wounds on the anterior surfaces of bilateral lower legs for roughly nine months, starting with [...]

Case Presentation: A 42-year-old male with a history of intravenous (IV) drug abuse presented with four weeks of skin lesions on his bilateral dorsal forearms and one week of associated right-hand swelling and anesthesia. Prior to the development of the skin wounds, the patient had been frequently injecting fentanyl into the veins of both forearms; [...]

Case Presentation: A 61-year-old man with a history of opioid use disorder, methamphetamine use disorder, and chronic bilateral lower extremity wounds presented with worsening lower extremity pain and drainage (Figures 1 and 2). He was admitted for intravenous antibiotic treatment for lower extremity cellulitis. He reported inhaling fentanyl and methamphetamine on the day of presentation, [...]