Case Presentation: A 61 year old female presented to the emergency department with 1 day of nausea, vomiting, and fever. The day prior to her symptom onset, she had undergone a colonoscopy for colon cancer screening that was normal. Her medical history was notable for splenectomy in 2000 for a hamartoma.On presentation, her temperature was [...]

Case Presentation: Ms. M is an 80 yo female with DM 2, COPD and gout, initially admitted to a tertiary care medical center in 2019 for sepsis of presumed urinary origin. She was treated with ceftriaxone and rapidly improved. Her urine culture and blood cultures from admission remained negative on hospital day 3, so she [...]

Case Presentation: A 48-year-old man presents with chief complaints of fever, nausea, vomiting, rash and discoloration of hands and feet for 1 day. He was admitted to intensive care unit for septic shock and altered mental status. Patient was intubated and started on intravenous fluids, pressor medications and broad-spectrum antibiotics (vancomycin and piperacillin/tazobactam). On day [...]

Case Presentation: A 48-year-old man with a past medical history of congenital solitary right kidney, chronic idiopathic pancreatitis, pancreatectomy and islet cell transplant, splenectomy, and alcohol use disorder presented with fever, chills, and night sweats. He was bitten by a dog three days prior to presentation. Shortly after arrival, he developed septic shock with lactic [...]

Case Presentation: A 54-year-old female with a past history significant for anxiety, tobacco, and alcohol use disorder presented to the emergency department with nausea, dizziness, weakness, and vomiting. Husband reports patient was bit by a dog on her right hand but denies any noticeable wound. He reports on the weekend she also had 2 episodes [...]

Case Presentation: A 75 year-old woman with a remote history of breast cancer and macrocytic anemia presented to the Emergency Department with chills, poor appetite and painful bilateral lower extremity rash for 3 days. Her vital signs were within normal limits and examination was most notable for non-blanching scattered purpuric macular lesions of her lower [...]