CONTENTS
JOURNAL EDITORIAL STAFF ASSOCIATE EDITOR L.W. Johnson, MD CHIEF EXECUTIVE OFFICER Jeff Williams JOURNAL EDITORIAL BOARD Vice Chair, K. Barton Farris, MD Secretary/Treasurer, Richard Paddock, MD Anthony Blalock, MD
6 Beefing up! Fulminant Liver Failure Secondary to Anabolic Steroid Use 6 Abnormal Cardiac Conduction Abnormalities as the Presenting Sign of Pyrethroid Poisoning 7 The Importance of Recognizing BRASH with Mild Hyperkalemia 7 Invasive Mucormycosis in Patient with Acute Liver Failure 8 “Do I Have a Chance”—The Use of Angiovac System in a High Surgical Risk Patient with Aortic Valve Endocarditis. 9 A Bloody Lymphoma! 9 Decoding Sinusitis: Exploring the Complexities 10 Now You See Me, Now You Don’t: Transient Environmental Fungemia 10 “Why the Recurrence?”—Thoracic Endometriosis Presenting as Recurrent Hemothorax. 11 Switching to Long-Acting Injectables in Those with Hepatitis B and HIV Co-Infection: Good Intentions Gone Wrong 12 West Nile Virus Encephalitis: An Atypical Case Presentation 12 What Lies Beneath the Surface: A Case of Aquagenic Urticaria with IgG3 Subclass Deficiency 13 Pseudo-Thrombotic Microangiopathy Secondary to B12 Deficiency 13 Hemophagocytic Lymphohistiocytosis 14 A Rare Case of Fatal Drug Induced Hepatitis Secondary to Immune Checkpoint Inhibitor 15 A Unique Approach to Hybrid Extracorporeal Membrane Oxygenation: A Case Report 15 Pharmacy-Driven MRSA Nasal Swabs to Reduce Vancomycin Usage 16 Trends in the Most Common Chief Complaints in National Emergency Departments, with a Deeper Focus on Chest Pain, 2005-2021 16 A Novel Approach to Vegetation Aspiration in Native Valve Infective Endocarditis with the AlphaVac System 17 One in a Million: Ocular Manifestations and Parvimonas micra Infection in Lemierre Syndrome 18 Post-Operative Clostridium Difficile Infection in Inflammatory Bowel Disease Patients with Atypical Presentation 18 A Case of Nocardia brasilensis Causing Necrotizing Fasciitis in an Immunocompetent Patient 19 Unmasking a Rare Dual Threat: Bi-Phenotypic Compined Hepatocellular Carcinoma and Cholangiocarcinoma with Portal Vein Thrombosis 19 A Case of Coccidiomycosis Confounding a Systemic 2
L.W. Johnson, MD Fred A. Lopez, MD LSMS 2024 BOARD OF GOVERNORS OFFICERS OFFICERS
President, Richard Paddock, MD Past President, John Noble, Jr., MD President-Elect, Richard Paddock, MD Speaker Of The House, Thomas Trawick, Jr., MD Vice Speaker, Robert Newsome, MD Secretary/Treasurer, Amberly Nunez, MD Chair, Col, Matthew Giglia, MD COUNCILORS District 1 Member, Myra Kleinpeter, MD District 2 Member, Luis Arencibia, MD District 3 Member, Allen Vander, MD District 4 Member, Randall White, Jr., MD District 5 Member, Gwenn Jackson, MD District 6 Member, Michael Roppolo, MD District 7 Member, Brian Gamborg, MD District 8 Member, Lance Templeton, MD District 9 Member, Andy Blalock, MD District 10 Member, Nicholas Viviano, MD SECTION REPRESENTATIVES
Young Physician Member, Ken Ehrhardt, MD Resident/Fellow Member, Omar Leonards, MD Medical Student Member, Madison Thornton Employed Physician Member, John Bruchhaus, MD Private Practice Physician Member, Katherine Williams, MD
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