Case Presentation: A 55-year-old male with history of bilateral degenerative hip joint disease presented for worsening serosanguinous drainage from his wounds one week after bilateral hip replacement. He further developed diaphoresis and chills and received cephalexin at an outside hospital from where he was later discharged. He did not have improvement from antibiotics and his [...]

Case Presentation: We present a 79-year-old woman with a longstanding history of seropositive, erosive, and nodular rheumatoid arthritis. Her rheumatoid arthritis was diagnosed over 40 years prior and had been complicated by Large Granular Lymphocytic (LGL) Leukemia and Felty syndrome with confirmed splenomegaly and neutropenia. She was originally treated with filgrastim for severe neutropenia. About [...]

Case Presentation: A 61-year-old male with past medical history of type 2 diabetes, hypertension, hyperlipidemia, tobacco use disorder, Raynaud phenomenon, and provoked DVT presented from an outside hospital with abrupt onset of a purpuric lower extremity rash with discoloration and ulceration of the distal fingers and toes. At the time of the patient’s DVT several [...]

Case Presentation: Two patients developed tongue necrosis as an unusual presentation of giant cell arteritis (GCA).Case 1:A 61-year-old female presented with a one month history of painful swelling and ulceration of her tongue with weight loss. She received a punch biopsy of her tongue that showed ischemic, necrotic, and autolytic changes. After large areas of [...]

Case Presentation: A 38-year-old female presented to the emergency department with profuse vomiting, fever, chills, lightheadedness, dizziness, and the inability to tolerate oral intake. She had been in her usual state of health until two hours after returning from a doctor’s appointment where she received methylene blue intravenously. Past history included hypothyroidism, postural orthostatic tachycardia [...]

Case Presentation: A 34 year old female presented to the emergency department with several days of rapidly progressive skin and tongue lesions. Over the preceding months, she was evaluated by outpatient otolaryngology for recurrent otalgia and sinusitis, receiving antibiotics and prednisone without improvement. She underwent electromyography with neurology and was diagnosed with peripheral neuropathy of [...]

Case Presentation: A 41-year-old male with a history of recurrent sinusitis, asthma, chronic nephrolithiasis, and open angle glaucoma from steroid use presented to the emergency department with new onset pleuritic chest pain and dyspnea. Over the last 10 years, he had experienced chronic sinusitis that was significantly decreasing his quality of life. The patient previously [...]