Case Presentation: A previously healthy 8 month old female presented to the emergency department (ED) with diarrhea and an unusual diaper rash. Her symptoms began 6 days prior to presentation with fever and congestion. She was initially diagnosed with a viral upper respiratory infection and bilateral otitis media and was prescribed cephalexin. She later developed [...]

Case Presentation: A 63-year-old Hispanic male with relapsed refractory IgD-kappa plasma cell myeloma on 5th line salvage chemotherapy and remote high-grade invasive papillary urothelial carcinoma / prostatic adenocarcinoma status post cystoprostatectomy three years prior was admitted to the hospital for evaluation of a fall and sepsis secondary to cellulitis. The patient reported that he noticed [...]

Case Presentation: A previously healthy 11-month-old female was admitted to the hospital with new onset of skin lesions. One month prior to admission, her parents noticed “bumps on her bottom.” They initially thought the bumps were secondary to insect bites, and took her to a local urgent care, where she was prescribed topical antibiotic ointment. [...]

Case Presentation: A 55-year-old man with type 2 diabetes mellitus, metastatic renal cell carcinoma to brain and bone despite left nephrectomy and multiple cycles of chemotherapy and recent immunotherapy with nivolumab presented 3 weeks post whole brain radiation treatment (WBRT) with 4 days of right arm pain and swelling. He visited upstate New York prior [...]

Case Presentation: A 28-year old healthy female was admitted seven days post-operatively following Cesarean section for abdominal wound complications. On admission, she was septic; her scar was tender and erythematous with surrounding purple discoloration. Within a few hours, the edges of her scar turned dusky, extending well outside the originally marked boundaries. Aggressive debridement of [...]

Case Presentation: A 43-year-old male with a past medical history of Atrial Fibrillation on Warfarin, Stage III Chronic Kidney Disease, and Chronic Systolic Heart failure (EF 15%) presented to the ED with diarrhea and dyspnea. He was found to be in Atrial fibrillation with Rapid Ventricular Response with CHF exacerbation and shock, and he was [...]

Case Presentation: A 51-year-old woman with multiple medical co-morbidities including morbid obesity with body mass index of 84, hepatitis C cirrhosis, urinary retention requiring chronic indwelling foley catheter and bilateral non-obstructing renal calculi presented from her nursing home with altered mental status, tachycardia, hypotension, and urinalysis findings consistent with urinary tract infection. She had a [...]

Case Presentation: A 24 yo male with a history of juvenile idiopathic arthritis ( JIA), macrophage activation syndrome (MAS), and pyoderma gangrenosum presented with fever to 102.9F and rash for 2 days. He had a diffuse, erythematous, un-raised, itchy rash which started on his arms and spread to his chest and back. He had recently [...]

Case Presentation: A 40-year-old Caucasian male with a past medical history of polysubstance abuse, with a preference for cocaine, presented to the emergency department complaining of right groin pain. He was diagnosed with purulent cellulitis and broad spectrum intravenous antibiotics were initiated. Initial blood work found low WBC (3.7 x 103/mcL), with a low neutrophilic [...]

Case Presentation: A 55 year old male with history of ulcerative colitis and iron deficiency anemia presented to the emergency department with a 1 week history of progressive swelling, tenderness and erythema of a circumscribed area of his anterior chest. Similar lesions erupted over right 4th finger and right ankle 2 days prior to presentation. [...]