Case Presentation: A 33-year-old post–kidney transplant woman with Type 1 Diabetes presented with several days of persistent fever, chills, mild headache, photophobia, dry cough, fatigue, and night sweats. She had recently moved from Tennessee to Florida a couple of months prior. On admission, her vital signs and physical examination were unremarkable, and no meningeal signs [...]

Case Presentation: A 34-year-old male with a history of seizures treated with levetiracetam and carbamazepine was brought to the emergency department after an episode of generalized jerking movements and unresponsiveness. Emergency medical services documented a serum glucose level of 27 mg/dL, administered intravenous dextrose, and transported him to the hospital. On arrival, he was hemodynamically [...]

Case Presentation: A 75-year-old male underwent TAVR in February of 2023 with a Sapien 3 OD29mm valve for severe symptomatic aortic stenosis. He had no known history of intracardiac shunt and right ventricular function was normal at baseline. Soon after TAVR implantation, he required admission for acutely decompensated heart failure. The valve was functioning well, [...]

Case Presentation: A 67-year-old female with recurrent cutaneous squamous cell carcinoma metastatic to the axillary lymph nodes initiated cemiplimab therapy. Treatment was discontinued after one cycle due to severe myalgias and transaminitis. Over the following weeks, she developed progressive fatigue, lower-extremity edema, and worsening dyspnea, prompting hospitalization. She was clinically volume overloaded with sinus tachycardia [...]

Case Presentation: A 69-year-old African American woman with diabetes mellitus, a chronic indwelling urinary catheter, recurrent catheter-associated UTIs, bedridden status, and an infected sacral ulcer presented with acute altered mental status. She was hypotensive and tachycardic. Laboratory evaluation showed leukocytosis, severe anemia, hypoglycemia, and markedly elevated procalcitonin. A Pelvic CT confirmed sacral osteomyelitis with associated [...]

Case Presentation: A 52-year-old woman with no significant medical history presented to the hospital with several weeks of pruritus, dark urine, and scleral icterus. She denied medication changes, alcohol use, or travel. Physical exam was unremarkable. Labs showed markedly elevated aminotransferases (aspartate aminotransferase [AST] 1,782 U/L, alanine aminotransferase [ALT] 1,707 U/L), alkaline phosphatase 254 U/L, [...]

Case Presentation: A 64-year-old woman with a history of macromastia presented five days after undergoing bilateral mammoplasty with pain, fever, and purulent discharge from surgical sites. Due to concern for surgical site infection, she underwent washout and debridement, and tissue cultures were obtained. Empiric broad-spectrum intravenous antibiotics (Piperacillin-Tazobactam and Linezolid) were initiated. Despite intravenous antibiotic [...]

Case Presentation: A 72-year-old man with extensive-stage small cell lung carcinoma was admitted for observation following his first infusion of tarlatamab-dlle (Imdelltra), a bispecific T-cell engager (BiTE) targeting DLL3. His medical history included chronic obstructive pulmonary disease with chronic hypoxic respiratory failure and hypertension. He remained stable during 24 hours of inpatient monitoring and was [...]

Case Presentation: A 49-year-old female with a learning disability, asthma, and no smoking history was hospitalized for dysphagia and food bolus impaction. Esophagogastroduodenoscopy revealed esophagitis concerning for eosinophilic esophagitis, and she was discharged with pending biopsies. She returned the following day with lower abdominal pain and worsening shortness of breath. She reported her asthma had [...]

Case Presentation: A 28-year-old male with a history of hiatal hernia presented with progressive dysphagia to solids and liquids over several weeks. His symptoms worsened to the point where he was reliant on a blended foods and liquid diet. Initial evaluation with a barium swallow demonstrated extrinsic compression of the upper thoracic esophagus. Subsequent CT [...]