Background: Patients who have undergone hematopoietic stem cell transplantation (HSCT) are at a higher risk of infection compared to their healthy counterparts. This retrospective chart review aimed to elucidate the incidence and etiology of skin infections in HSCT patients and understand the relationship between these infections and graft-versus host disease (GVHD), neutropenia, and transplant type. [...]

Case Presentation: A 51-year-old male with a history of recent pneumonia and cocaine use (most recently 4 weeks prior) presented to the emergency department for shortness of breath. Exam demonstrated decreased left sided breath sounds with x-ray confirming left lower lobe consolidation and effusion.  Labs revealed neutropenia and a negative urine drug screen.  Neutropenia was [...]

Case Presentation: 66 yr old female presented to hospital with a 2 days hx of fever to 102.6F and bilateral pruritic forearm rash. 4 weeks prior she was diagnosed with MSSA bacteremia and acute heart failure secondary to infective endocarditis. Treatment at that time included a bioprosthetic aortic valve replacement and MV annuloplasty and course [...]

Case Presentation: A 24 year-old woman with history of breast cancer status post mastectomy and adjuvant chemoradiation therapy presented with one week of fevers and cervical lymph node enlargement. On presentation, she was febrile with a temperature of 38.7⁰C. Physical exam was notable for tender, firm, bilateral posterior cervical chain lymphadenopathy up to 1cm. WBC [...]

Case Presentation: A man in his 70s with history of benign prostate hypertrophy, diverticulosis, and polymyalgia rheumatica with previously elevated RF and anti-CCP serologies who first developed sinus symptoms and recurrent pneumonias four years prior to his current presentation. At that time, he had CT chest imaging demonstrate bronchiectasis and spirometry reveal an obstructive ventilatory [...]

Case Presentation: A 59-year-old woman with a history of recurrent hospital admissions over several years for neutropenic fever who presented for generalized body weakness and fever of 102F for one day. On presentation the patient had a temperature of 102.9F, HR 106, BP 128/96. Physical exam was notable for tender cervical lymphadenopathy and pharyngeal erythema. [...]

Case Presentation: A 72-year-old female was referred to the emergency department after being found to be neutropenic with an absolute neutrophil count (ANC) of 165/mm^3 on outpatient laboratory analysis. She had been admitted one month earlier for septic arthritis of the left knee and was discharged on ceftriaxone 2g daily via peripheral indwelling catheter. Her [...]

Case Presentation: A 70-year-old male with past medical history of hypertension and atrial fibrillation, recently admitted for right calcaneal osteomyelitis complicated by vancomycin-resistant MRSA bacteremia, was discharged to a rehabilitation facility to complete a course of ceftaroline and daptomycin for 6 weeks duration. He presented to the emergency room about 3 weeks later with skin [...]

Case Presentation: A 36-year-old woman with past medical history of depression and sickle cell trait presented to the hospital with two days of fevers and chills. She was treated for streptococcus A pharyngitis with clindamycin one month prior to presentation, but at this time had no other symptoms. On presentation, her exam was notable for [...]

Case Presentation: A 24-year-old man presented with MRSA osteomyelitis of his right tibia two months after suffering an open fracture during a helicopter crash into a mountain. He was started on intravenous vancomycin. The patient did well for thirteen days however then started to have recurrent fever spikes up to 104.9 °F with concurrent sinus [...]