Case Presentation: This patient is an 81 year old female with a history of chronic lymphocytic leukemia and small lymphocytic lymphoma who presented to the hospital’s emergency department 5 to 6 months after the initiation of ibrutinib with a diffuse, highly pruritic, erythematous, blanchable papular rash distributed across her trunk and upper right extremity. Initially [...]

Case Presentation: AB is a 48-year-old patient with a medical history significant for undifferentiated inflammatory polyarthritis and anaphylaxis to numerous food and medications. Ten minutes after sampling a new cracker flavor, AB noted dysphonia, dysphagia, and difficulty handling her secretions. She self-administered epinephrine 0.3mg intramuscularly (IM). Fifteen minutes later, her symptoms continued to progress, so [...]

Case Presentation: A 78-year-old gentleman with a past medical history of scalp melanoma, renal papillary cell carcinoma, Ewing sarcoma, and end-stage renal disease presented to an outpatient Oncology appointment with bilateral ptosis, diplopia, myalgias, and bilateral proximal leg weakness less than one week following pembrolizumab infusion and influenza vaccination. He was sent to outpatient Neurology [...]

Case Presentation: Babesiosis, most commonly caused by Babesia microti and transmitted by the Ixodes tick, is one of the predominant tick-borne diseases of Northeast and upper Midwestern United States (1, 2). Clinical manifestations range from asymptomatic infection to severe fulminant disease, with fever being the most common presentation (3). Acute respiratory distress syndrome and disseminated [...]

Case Presentation: A 65-year-old man with a history of bilateral retinal detachment, coronary artery disease, type 2 diabetes, hypothyroidism, and hypertension presented with several days of left eye pain, bitemporal headache and decreased vision. Vital signs were notable for fever (101.2F) and tachycardia (124 bpm). On physical exam, he was unable to open his left [...]

Case Presentation: A 41-year-old woman with a history of progressive ILD, Raynaud’s phenomenon, and Sjögren syndrome presented to ED for worsening dyspnea on exertion, malaise, fevers, chills, and body ache lasting more than 3 weeks. She had received treatment with antibiotics and a short course of steroids as an outpatient without effect. On physical exam, [...]

Case Presentation: 72-year-old lady with past medical history of CAD, COPD and a recent hospitalization for COVID19 Pneumonia and was discharged with Levofloxacin for 1 week. Her labs upon discharge were noted to be: Hb 11.7 gm/dl, WBC 6.9x 109/​L, and platelet count 194 x10​9/L.. One week after getting discharged from the hospital, the patient [...]

Case Presentation: A 56-year-old man presented with 3 weeks of headache and 3 days of chin numbness. He also reported subjective fever and night sweats. His past medical history included HIV for which he was on antiretroviral therapy (last CD4 902 x10^6/L and undetectable viral load). His vital signs were normal. He had decreased sensation [...]

Case Presentation: A young man presented to the ED with four days of severe, sharp midsternal chest pain, fevers, diffuse arthralgias, bilateral conjunctivitis, diarrhea, and fatigue. He reported sexual intercourse with an HIV positive male partner four months prior to presentation and a history of multiple STI’s diagnosed in the past 6 years. Vitals: 101.5F, [...]

Case Presentation: A 22-year-old healthy female presented in April 2021 for abdominal pain during menstruation. Vital signs and workup with blood counts, metabolic, pregnancy, and sexually transmitted infection panels were unremarkable. Urinalysis showed nitrites, pyuria, bilirubin, and urobilinogen. Ultrasound and CT of the abdomen/pelvis were unremarkable. She was diagnosed with cystitis and prescribed cefuroxime. Urine [...]