Case Presentation: A 39‐year‐old man with no medical history presented to the emergency department with a 2‐month history of urinary incontinence, constipation, and erectile dysfunction. He also reported paraesthesias, bilateral lower extremity weakness, and jerking movements of his right foot. Neurological examination revealed sensory abnormalities to pinprick, temperature, and proprioception in both legs up to […]

Case Presentation: A 67‐year‐old man presented to the emergency department with a complaint of a presyncopal episode associated with persistent hiccupping and vomiting for 3 weeks. He also reported decreased oral intake, although he denied early satiety. The patient would vomit after ingesting very small amounts of food. His medical history was notable for right […]

Case Presentation: A 31‐year‐old man with AIDS and disseminated MAC presented with 2 weeks of pruritic rash. Rash was associated with fever, cough, and weight loss. The patient lived in southeastern Louisiana but had recently been to California for 15 months and took occasional trips to the desert. He reported no pets, recent trauma, history […]

Case Presentation: A case of malabsorption syndrome secondary to primary amyloidosis is presented here. A male in his forties presented with intermittent rectal bleeding, watery diarrhea, steatorrhea, dizziness and weight loss of 30 pounds over a year. The patient had an unremarkable medical history. On exam, he was afebrile but tachycardic and hypotensive. Tenderness was […]

Case Presentation: A 67‐year‐old man presented to the emergency room with progressive bilateral lower extremity edema for 3 weeks. He denied any dyspnea, oliguria, or chest pain. His medical history was significant for an intestinal carcinoid tumor status posthemicolectomy 10 years ago. On exam, he had moderate jugular venous distension, significant bilateral lower extremity edema, […]

Case Presentation: A 34‐year‐old man was admitted for evaluation of elevated blood glucose despite extreme subcutaneous (SQ) insulin requirements. He had a 12‐year history of type 2 diabetes mellitus without episodes of ketoacidosis, managed initially with oral medications and started on SQ insulin 3 months prior to admission. Shortly thereafter his insulin requirements escalated rapidly. […]

Case Presentation: Mr. B is a 45‐year‐old man with a history of depression, anxiety, and severe gastroesophageal reflux disease who presented to the emergency department for evaluation of a rash on his right ankle. He was given an empiric course of doxycycline for possible Lyme disease; Lyme titers eventually returned negative. He returned 2 weeks […]

Case Presentation: Rhizobium spp are aerobic gram‐negative bacilli widely distributed in soil and commonly known as tumorigenic plant pathogens. R. radiobacter is an uncommon cause of human infection. Immunocompromised patients with indwelling vascular devices are the most commonly infected human hosts. We present a 47‐year‐old woman with a history of short gut syndrome. She had […]

Case Presentation: A 27‐year‐old woman with sickle cell disease presented with acute bilateral leg, abdominal, and chest pain accompanied by nausea, nonbloody vomit, and a productive cough. The woman stated that the pain was consistent with her usual pain crisis for which she was hospitalized once yearly. The patient had never had a blood transfusion […]

Case Presentation: LC is a 17‐year‐old HIV‐positive male on dapsone for PCP prophylaxis. He was admitted to the ICU after ingesting 6 g of dapsone in a suicide attempt. Initial ABG showed PO2 saturation of 74% with methemoglobinemia of 34.4%. Labs were consistent with hemolytic anemia with elevated LDH, low haptoglobin, and Hb of 11.8 […]