Background: Skin, soft tissue, and joint infections are common in pediatric patients and can require invasive procedures to drain purulent fluid. Atypical pathogens (fungal and acid-fast bacilli [AFB]) are important but rare causes of these infections with reported case rates as low as 0.6-1.6 cases/100,000 a year. Despite the rarity of these infections, costly atypical [...]

Case Presentation: A 44-year-old man with multiple myeloma and cardiac amyloidosis on chemotherapy, and atrial fibrillation on apixaban, presented with three days of worsening shortness of breath and edema. He was admitted to the emergency room observation unit for treatment of a mild heart failure exacerbation. He was noted on admission to have rapidly developed [...]

Background: Despite detailed Infectious Disease Society of America (IDSA) skin and soft tissue infection guidelines, patients with cellulitis at our institution consistently receive antibiotics with high local resistance or that are inappropriate based on IDSA guidelines. Our baseline data showed that 55 percent of patients receive antibiotics per IDSA guidelines and only 33 percent of [...]

Background: The management of cellulitis in young infants has not been well-studied and appears to be largely variable. Infants with cellulitis often present without fever and only skin findings, with only a small minority having invasive infection. There is no consensus on the need for admission and further workup, such as a lumbar puncture. The [...]

Case Presentation: A previously healthy and ambulatory 34-year-old diabetic man presented with left-sided scrotal and groin cellulitis and was admitted to the hospital for intravenous antibiotic therapy. He was placed on appropriate pharmacoprophylaxis for venous thromboembolic disease and was observed ambulating on the unit. Despite one week of appropriate antibiotic therapy, he continued to have [...]

Case Presentation: A 58-year-old male with limited prior health care utilization with presumed longstanding untreated HTN, otherwise unknown medical history, presented to a rural hospital with lethargy, confusion, acute renal failure of unknown duration. His personal history is significant for being exposed to pigs and chicken. On exam, he had a left lower extremity wound [...]

Case Presentation: A 69-year old male with past medical history significant for granulomatosis with polyangiitis and lower extremity deep vein thrombosis (DVT) presented with worsening pain, swelling and erythema of his right lower extremity. He reported exposure to stagnant rainwater in his yard a day prior to admission. Hours after the exposure he developed fever [...]

Case Presentation: A 55-year-old man with a past medical history of poorly controlled diabetes and remote intravenous drug use was evaluated for a right chest wall infection. 1 week prior to presentation, he had chest wall erythema, pain resulting in decreased range of motion, fevers, chills, decreased appetite, and weight loss. He presented to an [...]

Case Presentation: A 69 year old woman presented to the hospital with 2 days of progressively worsening right lower leg pain and rash. Other symptoms included persistent nausea & vomiting following a recent episode of gastroenteritis. Exam demonstrated normal vital signs and bilateral lower extremity edema extending to the knees with apparently equal bilateral tenderness. [...]

Case Presentation: A 54-year-old man with a past medical history of intravenous drug use and morbid obesity presented with worsening bilateral lower leg pain and swelling. The patient reported chronic bilateral leg edema after a car accident a year before and started noticing skin changes with multiple bumps on his legs for several months. He [...]