Case Presentation: A previously healthy 4-year-old male initially presented with lower abdominal pain. Abdominal and pelvic CT showed mild left external iliac and inguinal lymphadenopathy. The next day, he developed a low-grade fever and an erythematous patch over the left groin. He was diagnosed with cellulitis and oral trimethoprim-sulfamethoxazole was initiated. He re-presented 24 hours [...]

Case Presentation: A four-month old full term male was admitted to the pediatric hospital medicine inpatient service with poor feeding, vomiting, and inadequate weight gain. Weight faltering was first noted at 2 months of age. At that time the pediatrician prescribed famotidine for reflux and referred the mother-infant dyad to a lactation consultant for breastfeeding [...]

Case Presentation: A healthy 15‑month‑old female with a congenital nasal lesion presented to the Emergency Department with one week of progressive swelling and erythema of the lesion. She was afebrile, with one day of congestion and no other systemic symptoms. Oral cephalexin prescribed two days earlier had no effect. There was no history of trauma, [...]

Case Presentation: A 17-year-old male with no significant PMH was admitted with chief complaints of generalized weakness and low-grade fever with recent travel history to Europe. Pertinent labs included leukocytosis 15.9 K and peripheral eosinophilia 1.2%. Chest x-ray showed elevation of right hemidiaphragm. CT showed a large rim-enhancing fluid collection 19.7 x 16.9 x 24 [...]

Case Presentation: A 17-year-old female was admitted for L4-L5 discectomy. Following intubation, the patient developed hypotension and facial edema one minute after administration of cefazolin and 30 minutes after administration of rocuronium, fentanyl, lidocaine, and propofol. She was treated with intravenous epinephrine bolus and drip, fluids and steroids, followed by PICU admission. Serum tryptase level [...]

Case Presentation: 6-month-old male, born full-term without complications, presented with decreased oral intake and urination, irritability, vomiting, and fevers. History included facial rash six days prior, and diarrhea for three weeks. CBC, CMP, and urinalysis were unremarkable; CRP and Procalcitonin were elevated at 16.6 mg/dL and 15.0 ng/mL, respectively. CSF analysis demonstrated glucose of 24.2 [...]

Case Presentation: A 9-month-old unvaccinated female with no past medical history presented with three days of non-bilious, non-bloody vomiting after contact with a sick child. Parents denied fever, diarrhea, or rash. Initially vomiting after each feed, she progressed to near-hourly emesis, became lethargic, and voided only once on the day of admission. The child had [...]

Case Presentation: A 17-year-old male with a recent history of Bell’s palsy presented with two months of migratory joint pain, beginning in the shoulders and progressing to his hands, knees, and feet. He also reported a two-week history of a pruritic rash starting in the beard region and spreading to the trunk and extremities, three [...]

Case Presentation: A 10-year-old boy with autism presented for multiple complaints including recurrent anemia, rash, and eye redness with light sensitivity. All prior care was in a different healthcare system. 9 months prior, he was admitted for severe anemia (hemoglobin 3.5) with iron deficiency, and esophagogastroduodenoscopy (EGD) showed multiple gastric ulcers with bleeding. Hemoglobin improved [...]

Case Presentation: A 9-year-old male with diagnosis of X-linked Lymphoproliferative Syndrome, undergoing stem cell transplant developed fevers, rash, nausea, positional headache, and lethargy three weeks after transplant. Neurological exam demonstrated grossly intact cranial nerve function, no clonus, and no further focal neurological deficits. His skin rash was characterized as diffuse coalescing erythematous papules and plaques [...]