Case Presentation: This patient was a 32 year old male with one week of fevers, coughing, and shortness of breath. On examination, the patient was tachycardic with an oxygen saturation of 85%. He had increased work of breathing with accessory muscle use, but no crackles or wheezing. Complete blood count showed leukocytosis. CT angiogram showed [...]

Case Presentation: The patient is a 58-year-old male with a past medical history of end-stage liver cirrhosis status post-liver transplantation in 1991 who was on tacrolimus (TAC) 1 mg twice a day. He was admitted for altered mental status, fever and respiratory distress. He was found to have bilateral pneumonia treated as community-acquired pneumonia. The [...]

Case Presentation: A 68-year-old male with a medical history of gastrointestinal stromal tumor (GIST) on Imatinib and paroxysmal atrial fibrillation on Apixaban presented with a 4-week history of progressive dyspnea. He had outpatient evaluation for these symptoms previously at which time COVID-19 testing was negative and chest radiography findings were consistent with pneumonia. He was [...]

Case Presentation: The patient is 67-year-old man with prior metastatic renal cell carcinoma (status post right nephrectomy), on long term pazopanib therapy, who presented with dyspnea and pleurisy. He was found to be in hypoxemic respiratory distress out of proportion to the mild pulmonary vascular congestion seen on his initial chest x-ray (CXR). He improved [...]

Case Presentation: This case describes a 63-year-old male who was recently diagnosed with renal cell carcinoma with metastasis to the lungs confirmed with a biopsy showing diffuse PAX-8 positivity on an immunohistochemical staining panel favoring renal origin. He was started on Nivolumab/Ipilimumab however was hospitalized in the intensive care unit for septic shock due to [...]

Case Presentation: 76 year old male with non-Hodgkin lymphoma presented with shortness of breath and cough and was admitted with acute hypoxic respiratory failure (AHRF). Last chemotherapy treatment was one month before presentation with rituximab, in addition to other agents. He had completed 2 out of 6 planned chemotherapy cycles. On physical exam, there were [...]

Case Presentation: A middle-aged man with a history of heart failure and atrial fibrillation presented to the hospital with subacutely worsening dyspnea. He had hypoxemia, crackles on pulmonary auscultation, and diffuse airspace opacities on chest radiograph. Admission was requested for presumed exacerbation of heart failure. Upon closer examination, he no edema or elevated jugular venous [...]

Case Presentation: A previously healthy 5-year-old female was transferred to our facility for increasing respiratory distress in the setting of a COVID-19 infection with suspected secondary bacterial pneumonia. Approximately five days prior, she tested positive for COVID-19 after developing a cough. She was treated with supportive therapy until parents noticed her “breathing heavily.” At the [...]

Case Presentation: A 41-year-old healthy male presented to emergency department with cough and shortness of breath. Shortness of breath and cough was gradually progressive over one week, worsening with exertion. Cough is dry with no known aggravating factor. He denied fever or wheezing. No history of active or passive cigarette smoking, sick contact, recent travel, [...]

Case Presentation: A 77-year-old man with spondylolisthesis, status post L4-S1 fusion surgery, presented for wound dehiscence and surgical site infection. He underwent incision and drainage with cultures growing S Epidermidis.  Given the patient’s medication allergies and intolerances, infectious diseases (ID) was consulted with plan for a 6-week course of daptomycin. Thirteen days into the treatment, [...]