Case Presentation: A 44-year-old African woman presented to the ED complaining of productive cough, headache, fever, chills and nausea for 5 days. PMH was significant for HIV (CD4 557 cells/ mm3, HIV RNA 20 copies/mL) and non-Hodgkin lymphoma (in remission since 2009). Medications included darunavir, ritonavir, abacavir/lamivudine and valacyclovir. She denied travel, drug and alcohol [...]

Case Presentation: A 61-year-old man presented to our institution with a hoarse voice and progressively worsening difficulty with swallowing solids then liquids leading to a substantial weight loss over the past four months. An exam confirmed the presence of multiple cranial neuropathies (CN 5, 9, 10, 11) and a right-sided L4-5 radiculopathy. Lab work was [...]

Case Presentation: Presenting to our institution was a 81 year old female patient with a past medical history of cervical cancer in 2008,who had undergone both radiation and chemotherapy with resulting chronic edema of bilateral lower extremities. The patient who had eight years of the chronic lymphedema, presented with worsened lower extremity swelling and a [...]

Case Presentation: A 75 y/o woman with SLE on 10mg daily prednisone and hydroxychloroquine was hospitalized due to hyponatremia and 6 month history of chronic, intermittent lower back pain acutely worsening several days prior to admission. 1 month of almost daily subjective fevers and weight loss. History of initially necrotic, 1 cm wound on her [...]

Case Presentation: A 33 year-old female without significant medical history was admitted as a transfer from an outside hospital for daily fevers and generalized weakness for the preceding two weeks associated with neck pain. Had undergone an extensive infectious disease workup prior to arrival with Computed Tomography (CT) of head, chest, abdomen, and pelvis, blood [...]

Case Presentation: A 24 year old female with uncontrolled Type 1 Diabetes Mellitus was admitted with bilateral lower extremity swelling and abdominal fullness. Three weeks prior she visited the emergency department, was found to have mild bilateral pedal edema, and was given primary care physician follow-up. She was initiated on a diuretic regimen; B-type natriuretic [...]

Case Presentation: A 70 year old female with recently diagnosed right sacroiliitis presented with worsening right hip pain. Five months prior to admission, patient was hospitalized at an outside hospital for right hip pain and fevers. Imaging was suggestive of sacroiliitis. Cultures were negative for pathogens and biopsy showed inflammation. Patient was diagnosed with likely [...]

Case Presentation: A 36 year-old African-American female with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) was admitted to a community hospital with hypercalcemia and acute kidney injury (AKI). She recently was diagnosed with HIV/AIDs with diffuse lymphadenopathy. An abdominal lymph node biopsy showed Mycobacterium avium complex (MAC). She was started on highly active anti-retroviral therapy (HAART) [...]

Case Presentation: This is a previously healthy 41-year-old man who presented with fevers, headache, and neck stiffness for 5 days. He also reported photophobia, anorexia, insomnia, nausea but no vomiting. He denied any recent travel and was not aware of any insect bites. The patient had a faint macular rash on his upper chest and [...]

Case Presentation: A 39 year old male with a history of alcohol abuse and recurrent methicillin resistant Staphylococcus aureus bacteremia was referred for tertiary evaluation of recurrent bacteremia and diffuse eczematous eruption. He reported chronic diarrhea and long standing eczema with significant worsening of his rash in the last few months. A scaly and painful [...]