MERF 2019 - Case Reports

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  A Pruritic Eruption Following Gastric Bypass Surgery

  Danielle Yeager, Taylor Novice, and Diane Jackson-Richards

  Introduction: Prurigo pigmentosa is a rare inflammatory dermatosis characterized by pruritic erythematous papules and papulovesicles on the back, neck and chest. The cause is not well elucidated, but it has been associated with ketotic states. We present the second case of prurigo pigmentosa after gastric bypass surgery. Case: A 38 year-old African American female presented for evaluation of a rash on her neck, chest and back that initially began... Read More

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  Radiation Induced Bullous Pemphigoid: When Radiation Dermatitis Is Not The Answer

  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

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  A Case of Streptococcus Pneumoniae Meningitis

  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

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  Tissierella praeacuta bacteremia secondary to fecal exposure

  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