Case Presentation: A 70-year-old male with a history of type 2 diabetes mellitus complicated by neurogenic bladder with indwelling catheter and severe peripheral vascular disease status post bilateral below knee amputations (BKAs) presented with watery diarrhea and nausea for 1 day. Both amputations were in the preceding four months. He required multiple rounds of antibiotics [...]

Case Presentation: A 78-year-old man with heart failure, chronic kidney disease, and hereditary spastic paralysis was hospitalized with hyperkalemia to 7.7 mmol/L. He was admitted a month prior with heart failure and discharged on lisinopril with a new prescription for spironolactone. The patient had decreased appetite, limited oral intake, mild nausea, and no vomiting with [...]

Case Presentation: A 66-year-old male with end-stage renal disease on hemodialysis (HD), cervical spine stenosis with chronic constipation and previous stercoral colitis complicated by enterococcal bacteremia presented with two weeks of fevers and generalized weakness. The patient denied cough, runny nose, headaches, abdominal pain, diarrhea, or rash. He further denied recent procedures, hospitalizations, travel, or [...]

Case Presentation: A 71-year-old patient with a past medical history of hypertension, insulin-dependent type two diabetes mellitus with peripheral neuropathy, and deceased donor kidney transplant two years prior (CMV D-/R+ & EBV D+/R+) presented with a complaint of acute onset dark urine, and progressively worsening nausea, vomiting, and intermittent diarrhea. His immunosuppressive regimen consisted of [...]

Case Presentation: An 87 year old male with a history of bilateral cataract surgery 18 months prior and recent immigration to the United States as a farmer from Honduras presented for bilateral vision loss and eye pain worsening over the last 3 months. Evaluation by Ophthalmology revealed left panuveitis, right anterior uveitis, and right retinal [...]

Case Presentation: A 46-year-old Guatemalan male with a past medical history of hypertension, type 2 diabetes mellitus, iron deficiency anemia, and chronic ethanol use presented with intermittent fevers, bright red blood per rectum, loose bowel movements, and significant unintentional weight loss. Physical examination revealed right upper quadrant tenderness and conjunctival pallor but was otherwise unremarkable. [...]

Case Presentation: An 84-year-old male veteran with prostate cancer s/p prostatectomy in 2002 with positive margins, uncontrolled type 2 diabetes, untreated hepatitis C, 50-pack-year history, presented for admission after routine labs at his primary care physician’s office revealed prominent eosinophilia of 6,900 and hyponatremia. The patient’s main complaint was generalized pruritus and a one-month pruritic [...]

Case Presentation: A 53-year-old male with a past medical history of hypertension who recently emigrated from El Salvador presented to an ambulatory clinic for evaluation of substernal chest pain that started eight days earlier. He described the chest pain as intermittent, non-radiating, and associated with palpitations, chills, shortness of breath, and diaphoresis. He denied fever, [...]

Case Presentation: Stercoral colitis (SC) is an uncommon yet life-threatening inflammatory condition caused by fecal impaction in the colon, leading to increased intraluminal pressure, ischemia, and inflammation. If untreated, complications such as necrosis, perforation, and sepsis can result in mortality rates as high as 63%. Clostridium species, particularly C. perfringens and C. ramosum, are rare [...]

Case Presentation: A 24 year old Hispanic male with history of ESRD due to presumed medullary cystic disease who underwent DDKT x2 first in 2/2011 complicated by acute vascular rejection with loss of transplant, then again in 11/2011 which was complicated by antibody mediated rejection in 2015 that was treated with plasmapheresis developed a subacute [...]