Case Presentation: A 45-year-old female with a history of agammaglobulinemia, gastroparesis post G & J tubes, complicated by failure to thrive necessitating TPN via a Hickman catheter presents, 2 years after catheter placement, with confusion, weakness and abdominal pain. She was admitted to the ICU for septic shock.Blood cultures were positive for MRSA and Candida [...]

Case Presentation: A 34-year-old male with history of methamphetamine use presented with a one-week history of neck, shoulder, and wrist pain, intermittent radiculopathy, fevers, chills, myalgias, and arthralgias, and a one-day history of confusion. He denied rash, urinary symptoms, diarrheal illness, IV drug use, recent travel, and new sexual contacts. On admission, he was afebrile, [...]

Case Presentation: A 63-year-old female with no prior oncologic history was found to have a right breast mass via ultrasound guided biopsy. Pathology showed invasive poorly differentiated metaplastic carcinoma triple negative breast cancer. She was started on neoadjuvant chemotherapy, including Keytruda (pembrolizumab) every 3 weeks. During therapy, she developed Grade 1 fatigue and anemia. Baseline [...]

Case Presentation: A 96-year-old previously healthy Japanese man with a history of pancytopenia presented to our ED in May 2023 with ascending numbness and paresthesia. Over 1.5 months, he steadily developed numbness and tingling that ascended to his chest level (T4). He initially presented to an outside ED and received a CT T-spine that showed [...]

Case Presentation: A 20-year-old male presented with a one-week history of high fevers, headaches and nasal congestion, and he was diagnosed with Covid-19. Over the following three days, he developed left eye proptosis, altered mental status and photophobia. Prior to infection, the patient was in good health, did not smoke and had no family history [...]

Case Presentation: A 58-year-old male with a history of alcohol use disorder, recurrent and chronic pancreatitis and a recently identified 2.7cm pancreatic head pseudocyst on a prior admission, presented with abdominal pain and melena. CT scan of the abdomen and pelvis with contrast demonstrated extravasation of contrast into the duodenal lumen. A CT GI bleed [...]

Case Presentation: Our patient is a 42-year-old Hispanic female with a past medical history of hypothyroidism, iron deficiency anemia, and onychomycosis. She presented with complaint of generalized bruising all over her body for last 2 days. The patient reported that she was in her usual state of health except that she was started on Terbinafine [...]

Case Presentation: A 67-year-old male with a history of Graves’ disease, paroxysmal atrial fibrillation status post cardiac ablation not on anticoagulation, and chronic ibuprofen use presented to the emergency department with progressive dizziness, fatigue. He noted 10 days of black stools. Additionally, patient’s wife reported he had confusion that started yesterday. Patient presented stable on [...]

Case Presentation: A 60-year-old female with no past medical history presented to the emergency department with subacute worsening right thigh swelling and pain. Her history included mild trauma to her right thigh during a recent cross-country road trip. Her physical exam showed significant swelling and tenderness to the anteromedial right thigh with palpable distal pulses [...]

Case Presentation: This case report outlines the clinical course of a previously healthy 25 year old female who presented to the emergency department with a 2 week history of myalgia, high grade fever, and pain in palms and soles of her feet. Upon presentation to the patient’s local ER, her clinical condition rapidly deteriorated, and [...]