Case Presentation: A 65 yo female with fatty liver, IBS, and Gilbert syndrome presented with 3 weeks of persistent, non-bloody, non-mucoid diarrhea. No recent travel, sick contacts, or changes in eating habits prior to onset. Illness began with subjective fever and watery diarrhea, and she sought treatment twice in the ED. Workup included testing for [...]

Case Presentation: A 46-year-old Caucasian male with a past medical history of spastic quadriplegia secondary to MVC, Seizure disorder, CVA, Diabetes Mellitus type II on insulin, Neurogenic Bladder s/p suprapubic catheter, Chronic G-J Tube, Chronic Tracheostomy on Trach Collar, Severe protein calorie malnutrition and all extremities contractures who was admitted for dislodged G-J tube from [...]

Case Presentation: The patient is a 49-year-old male with a history of asymptomatic SARS-CoV-2 infection 3 weeks prior who presented to the emergency department complaining of weakness. It began 1 week ago when he woke up with numbness in his bilateral lower extremities (BLE) accompanied by tingling dysesthesias in the toes. His symptoms rapidly evolved [...]

Case Presentation: 41yo unvaccinated male diagnosed and treated with COVID-19 pneumonia eleven days prior represents six days after discharge for productive cough with hemoptysis. Patient was hemodynamically stable on room air with normal chemistries. CT chest demonstrated a new cavitary lesion in the left lower lobe and he empirically began antibiotics for post-viral pneumonia. When [...]

Case Presentation: A 44-year-old woman presented with five days of intermittent fevers and headaches. Her medical history included hypothyroidism, uterine fibroids, and migraines. The patient lives in East Africa and had traveled to Europe for work within the past month. Three days after flying to NYC, she began to experience subjective daily fevers in the [...]

Case Presentation: A 71-year-old woman who initially presented with sepsis from MSSA bacteremia was found to have an acute splenic infarct as well as a splenic artery pseudoaneurysm that was managed by coil embolization. She was discharged on a 4-week course of cefazolin for the treatment of her MSSA bacteremia. Two weeks later, she was [...]

Case Presentation: A 48-year-old man with a past medical history of congenital solitary right kidney, chronic idiopathic pancreatitis, pancreatectomy and islet cell transplant, splenectomy, and alcohol use disorder presented with fever, chills, and night sweats. He was bitten by a dog three days prior to presentation. Shortly after arrival, he developed septic shock with lactic [...]

Case Presentation: A 31-year-old male with no significant past medical history presented with fever, chills, night sweats, and rash. One week prior, he underwent incision and drainage of a perirectal abscess and was started on a 7-day course of trimethoprim/sulfamethoxazole (TMP-SMX). On the second day following the procedure, he developed fevers, chills, night sweats, and [...]

Case Presentation: A 55-year-old woman with a history of hypothyroidism presented with exertional retrosternal chest pain radiating to the neck and left arm. Vital signs were stable and physical exam was unremarkable. Chest x-ray was normal and ECG revealed T-wave inversions in the inferior leads. Laboratory testing demonstrated normal levels of cardiac troponin. Lipid profile [...]

Case Presentation: A 50-year-old man presented with one week of diarrhea. He reported ten voluminous watery bowel movements each day, nausea, and frequent non-bloody, non-bilious emesis. Additional symptoms included increasing right-sided abdominal pain, generalized pruritus, and diffuse weakness. Eating meat exacerbated both his abdominal discomfort and pruritus. His history included Ulcerative Colitis, Primary Sclerosing Cholangitis, [...]