Case Presentation: A 41–year–old Caucasian male with past medical history significant for morbid obesity, OSA and two recent admissions for pneumonia presented with dyspnea and expectoration of brownish yellow “sea creatures” for 2 weeks. Patient completed two 14 days courses of antibiotics for pneumonia over prior 3 months. Review of systems was remarkable for bilateral [...]

Case Presentation: A 54–year–old Haitian Woman with chronic back pain and an implanted neurostimulator placed years ago, presented in the spring with a frontal headache and subjective fevers for 8 days. She noted a nonpuritic nontender rash on her scalp 6 days prior to presentation and then developed a papulovesicular rash on her face, trunk [...]

Case Presentation: A 32–year–old Asian woman with a variant of multiple sclerosis (MS) was admitted with pyelonephritis and sepsis. She was started on ciprofloxacin (Cipro) 400 mg IV Q12 hours and continued on her home medications including tizanidine (Zanaflex) 4 mg PO QD. The morning after her admission, cipro and tizanidine were co–administered followed an [...]

Case Presentation: This is a 72–year–old African American woman who presented to the hospital with abdominal pain and failure to thrive which began 1 month prior to presentation. Notably, she was diagnosed with hydralazine–induced lupus 2 months prior to this presentation and was started on hydroxychloroquine (HCQ). Prior to initiation of her HCQ therapy she [...]

Case Presentation: A previously healthy 43–year–old white man was hospitalized because of recurrent episodes of fever, hepatosplenomegaly, abdominal pain and pancytopenia over the past 6 months. Previous extensive workup was unrevealing in causation. The patient presented at the initial onset of fever for this admission and remained persistently febrile. He had continued abdominal pain and [...]

Case Presentation: A 34–year–old female presented with a 1–week history of dysarthria, ataxia and postural instability. The week prior to her presentation she was admitted to a local hospital with significant vomiting and dehydration. She was found to be hyponatremia with a sodium level of 110 mmol/L. Initially, she was treated with antiemetics for her [...]

Case Presentation: A 45–year–old black female presented with 2 weeks history of worsening fatigue, malaise, shortness of breath upon exertion and dizziness. She also reported irregular menstrual periods. Laboratory analysis showed: Leukocyte count 2.36 × 103/mL, Platelet count 97 × 103/mL, Hemoglobin 5.8 g/dL, Mean Corpuscular Volume (MCV) 91.1 fL, and Red Cell Distribution Width [...]

Case Presentation: A change in previously controlled hypertension (HTN) should prompt consideration of a secondary workup. An 81–year–old obese female, with history of HTN, hyperlipidemia, and anxiety, presented with refractory HTN. Her blood pressure (BP) had been well controlled with lorsartan and amlodipine for more than 15 years until she developed angioedema. Her HTN was [...]

Case Presentation: A 24–year–old man presented with 2 weeks of fever, malaise, diarrhea, and cough followed by right upper quadrant pain, leg edema, and dyspnea on exertion. He denied previous illnesses or high–risk behavior, took no medications, and reported no travel. He had recently camped out overnight. Temperature 39.7°C, heart rate 80, blood pressure 105/59, [...]

Case Presentation: A 52–year–old previously healthy woman was admitted to our institution with a chief complaint of dyspnea, dry cough, and fever worsening over 4 days. Her past medical history was positive for lung adenocarcinoma for which she underwent right upper lobe lobectomy in 1992. Three weeks prior to admission she began smoking 4–5 cigarettes [...]