Allison Zarbo, Spencer Dunaway, and Holly Kerr
History: A 78-year old black female with history of invasive ductal carcinoma in the left breast status post lumpectomy and cytotoxic chemotherapy presented with acute onset blistering of the left breast with onset during the 24th cycle of radiation therapy which was diagnosed as radiation dermatitis by her radiation oncologist. New bullae on the left breast continued to arise after cessation of radiation therapy (RT). Within 4 weeks, patient... Read More
Allison Zindell, Mithil Patel, and Omar Francis
This is a case of streptococcus pneumoniae meningitis in an immunocompromised patient.This case discusses the presentation, management, and complications of a 57-year-old female with past medical history significant for Hodgkin's lymphoma in remission and rheumatoid arthritis on immunosuppressive therapy who presented to the emergency department with altered mental status.In the emergency department patient was found to have a fever of39.5 ° C, tachycardia 140s , and hypotensive at 73/40.... Read More
Louise Welsh, Fei Fang, Nicholas Coriasso, and Scott Kaatz
Case Presentation - A 49 year old female was found unresponsive in her home and covered in feces. She presented initially in undifferentiated shock requiring vasopressors and endotracheal intubation. The patient has a history of extensive stage 2-4 decubitus ulcers involving her back, buttocks, and right lower extremity secondary to prolonged inactivity from severe depression. Exam revealed ulcers that were covered in feces, maggots, and animal hair. She was... Read More
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