Case Presentation: A 43-year-old previously healthy male presented with acute onset mixed aphasia five days after recovering from an influenza A infection. He was last known well during a normal conversation with family before being found confused and unable to follow instructions at home. In the ED, initial CT and MRI brain imaging showed no [...]

Case Presentation: A 76-year-old woman with end-stage renal disease on hemodialysis, coronary artery disease, and asthma presented with a two-week history of diffuse pruritic rash involving the face and extremities, accompanied by progressive sharp abdominal pain worsened by meals and relieved by defecation. She also reported recent numbness and pain in both toes. Physical examination [...]

Case Presentation: A previously healthy 30-year-old woman presented with progressive myalgia, intermittent fevers, and worsening proximal weakness. She immigrated from Western Africa five months earlier with a remote history of malaria. For nearly a decade, she reported intermittent mild myalgias and exertional cramps that slowly advanced to significant functional limitation. She denied recent illness, surgery, [...]

Case Presentation: We present the case of a 46-year-old man with a history of HIV disease, recurrent lymphoma, end-stage renal disease on hemodialysis, and suprapubic catheter (SPC) placement two years prior for urethral strictures. He initially presented to outpatient urology after noticing a rapidly enlarging tissue mass around the SPC site. Biopsy revealed well to [...]

Case Presentation: A 71-year-old female presented to an outside hospital with altered mental status and fever. She was febrile (102 °F), tachycardic, and laboratory evaluation demonstrated leukocytosis. Blood cultures were drawn, and ceftriaxone and vancomycin were initiated empirically. CT of the head showed an olfactory groove meningioma. The patient was transferred to our institution for [...]

Case Presentation: A 75-year-old independent female presented with abdominal pain, confusion, lower back pain, and difficulty walking. Upon admission, temperature was 100.9ºF, heart rate was 85 bpm, blood pressure was 184/72, and respiratory rate 16 with oxygen saturation of 96%. Physical exam was remarkable for fluctuating mental status. Laboratory evaluation was significant for a lactic [...]

Case Presentation: A 42-year-old African American male was admitted with nausea, vomiting, dizziness, and abdominal pain after a recent cholecystectomy. He was afebrile, with blood pressure 117/67 mmHg, respiratory rate 20, and oxygen saturation 99%. Initial workup included CT Chest, Abdomen, and Pelvis; relevant for a small pneumoperitoneum attributed to postoperative status. Despite abdominal pain [...]

Case Presentation: Managing tricuspid valve infective endocarditis (TVIE) in individuals with intravenous drug use (IVDU) presents significant clinical and logistical barriers. For high-risk patients with limited surgical options, novel percutaneous approaches such as the AlphaVac system, combined with outpatient long-acting antibiotics, offer an emerging alternative to conventional operative management. A 42-year-old man with IVDU and [...]

Case Presentation: A 58‑year‑old man with alcohol and cannabis use was found unresponsive at home, last known well the prior evening. EMS documented severe hypoglycemia (32 mg/dL), corrected with D50. On arrival he was minimally responsive and required intubation. Initial labs showed creatinine 1.6 mg/dL, lactate 7.8 mmol/L, WBC 21K/µL, and a rising troponin (0.089→0.374 [...]

Case Presentation: Autoimmune Lymphoproliferative Syndrome (ALPS) is a rare immune-dysregulation disorder caused by defective apoptosis, most often from FAS-pathway mutations. Impaired lymphocyte deletion leads to chronic non-malignant lymphoproliferation, elevated double-negative T cells, and immune-mediated cytopenias. While hematologic autoimmunity is characteristic, hepatic and dermatologic manifestations are seldom described. We report a decade-long case of ALPS complicated [...]