Case Presentation: A 26-year-old otherwise healthy female was prescribed trimethoprim-sulfamethoxazole (TMP-SMX) for a recurring, spontaneously draining vaginal mass below her urethra with inguinal adenopathy. 5 days after starting TMP-SMX, she developed a full-body rash, fever, myalgia, nausea, and a depressed WBC of 2.4 K/mcL. Possible drug fever was suspected and TMP-SMX was discontinued and covered [...]

Case Presentation: A 37-year-old man with type 2 diabetes mellitus presented with an episode of bifrontal and retro-orbital headache, left-sided upper extremity and facial numbness, generalized weakness, and dysarthria. The patient reported similar symptoms one week prior to presentation that lasted 12 hours, and which were accompanied by syncope. Over the past month, the patient [...]

Case Presentation: A 36 year old male with no past medical history presented to the ER with a 3 day history of fevers, nausea, vomiting, and diarrhea. Labs demonstrated hyponatremia to 126 and acute renal injury (1.7 up from 0.6). He was admitted for presumed viral gastroenteritis and treated supportively. Two days later his symptoms [...]

Case Presentation: A 23 yo Indian M with a history of transfusion-dependent β-thalassemia major, extramedullary hematopoiesis (EMH), iron overload, and myeloneuropathy presented with mid-back pain, bilateral lower extremity (BLE) weakness and pain with acute-on-chronic paresthesias, gait imbalance, and recent falls. He complained of constipation, but denied saddle paresthesia, urinary retention, or bowel incontinence. Symptoms progressively [...]

Case Presentation: A 61-year-old female awoke one morning to thirty minutes of right sided weakness and slurred speech prompting hospital admission for stroke. Treatment with metronidazole and ciprofloxacin for colitis diagnosed two days ago was continued in hospital. Diffusion weighted imaging (DWI) of the brain MRI revealed infarctions in multiple vascular territories involving bilateral cerebral [...]

Case Presentation: A 59 year-old man presented with one week of progressive pain, swelling, and weakness of the right lower extremity. The pain was most severe in his right thigh, hip, and buttocks. He also developed numbness of the right foot and ankle. He reported no leg trauma, incontinence, or new medications. His past medical [...]

Case Presentation: 71-year-old female with history of DM2, HTN, breast carcinoma in situ status post mastectomy, B-cell lymphoma (R-CHOP in 2016 & RT, currently in remission), autoimmune hepatitis related cirrhosis on Azathioprine presented to the hospital with a 4-day history of progressively worsening productive cough, mild hemoptysis, fever and shortness of breath. In the Emergency [...]

Case Presentation: A 23 year old man with type 2 autoimmune pancreatitis (AIP) based on suggestive pancreatic biopsy presented with abdominal pain, nausea, and vomiting. Based on his AIP diagnosis, he had previously received courses of steroids and azathioprine, celiac plexus block, minor papilla sphincterotomy, and pancreatic duct stent placement, but these were all ineffective. [...]

Case Presentation: A 23-year-old male with no significant PMH or previous admission presents to the ED with one week of severe sore throat and difficulty swallowing. Patient reported raspy voice and no improvement with over-the-counter cough medications. Stated it was a sharp 7/10 pain which worsened with swallowing and head movement. Associated symptoms included chills, [...]

Case Presentation: An 83-year-old male with past medical history of hypertension managed chronically with hydralazine presented to the hospital complaining of acute onset of dyspnea, fever, and cough. He was treated for community acquired pneumonia with incomplete resolution of his symptoms. One month later he returned with fatigue and hemoptysis. Work up was significant for [...]