Case Presentation: This is a previously healthy 41-year-old man who presented with fevers, headache, and neck stiffness for 5 days. He also reported photophobia, anorexia, insomnia, nausea but no vomiting. He denied any recent travel and was not aware of any insect bites. The patient had a faint macular rash on his upper chest and [...]

Case Presentation: A 71 year-old woman with a past medical history of hypertension was admitted with generalized fatigue, weakness, and decreased concentration and memory for a week and a half. During this time, she also had fevers, sweats, anorexia and nausea. She was originally admitted to an outside hospital after falling and losing consciousness, diagnosed [...]

Case Presentation: 68-year-old man presented during summer with two weeks of weakness and shortness of breath. He had associated chills, myalgia, arthralgia, blurry vision, dry mouth, dizziness, dry cough, and dysuria. On initial presentation, he had new-onset atrial fibrillation (AFib) with rapid ventricular response and hypotension prompting admission to intensive care. After treatment with amiodarone [...]

Case Presentation: A 59-year-old female presented to the emergency department with a 5-day history of cough, chest pain, shortness of breath, and fever. She also reported nausea, vomiting, right upper quadrant abdominal pain and arthralgia. She denied any headaches. Past medical history was remarkable for gallstones. On physical exam, she appeared in moderate distress, was [...]

Case Presentation: An 80-year-old man with psoriasis on ustekinumab and type 2 diabetes mellitus (A1c 5.9) presented with seven days of fever. Two weeks prior to presentation, he underwent epidural steroid injection to the cervical spine for treatment of chronic neck pain. One week later, he developed fever to 103 °F. The patient had recently [...]

Case Presentation: A 54-year-old man presented with fever and malaise for two weeks associated with chills, non-bloody diarrhea, and unintentional weight loss of 8 lbs. He tested positive for influenza-A two weeks prior to presentation and was started on Oseltamivir by his primary care physician, without symptomatic improvement. There was no recent history of sick [...]

Background: Murine typhus, a flea-borne rickettsial disease traditionally found in warm, humid climates, is increasingly reported in non-endemic regions due to factors such as climate change and urbanization. Characterized by nonspecific symptoms including fever, headache, rash, and elevated liver enzymes, murine typhus often mimics common febrile illnesses such as influenza, viral exanthems, or sepsis. Delays [...]

Case Presentation: A 27-year-old male presented to the hospital after developing jaundice with elevated transaminases on routine labs. Patient described preceding two-week febrile illness characterized by general malaise, chills, and myalgias. He received two courses of antibiotics without resolution of symptoms. To manage fever, he consumed 7 grams/day of acetaminophen consecutively for 5 days. His [...]