Background: Sepsis is one of the leading causes of admission to intensive care units (ICU), and it is one of the most expensive conditions treated in United State Hospitals accounting for $20.3 billion or 5.2% of total hospitalization cost. Idiopathic pulmonary fibrosis (IPF) is one of the leading causes of interstitial lung disease, with currently [...]

Case Presentation: A 44 year-old Hispanic female with a past medical history of hypothyroidism presented from her endocrinologist with a diffuse, maculopapular rash, including the face, hands, wrists, torso, arms and legs. The rash had been intermittent for the past six years, painful, pruritic, and exacerbated by sunlight. She also complained of joint pain and [...]

Case Presentation: We report a case of a 73-year-old male with a history of occupational exposure to particulates generated from tungsten carbide grinding for eighteen years. Initially, he presented with complaints of progressive exertional dyspnea, chronic cough, and occasional chest tightness over the past two years. He did not endorse any smoking history, exposure to [...]

Case Presentation: A 65-year-old male with idiopathic pulmonary fibrosis (IPF) on immunosuppressive therapy, type 2 diabetes, and hypertension presented with fevers, abdominal pain, and generalized weakness. He was also noted to have a 40-pound weight loss over two months. He was recently admitted the month prior for mastoiditis and again two weeks earlier for similar [...]