Case Presentation: A 46-year-old female was brought to the emergency department by her husband after being found unresponsive at home. The patient had been experiencing intermittent fever episodes and dry cough for two weeks. She was seen by her primary care physician and prescribed Azithromycin for an upper respiratory tract infection (URI). Physical examination in [...]

Case Presentation: A 68 year old White female with atrial fibrillation presented with worsening dyspnea and cough. She was previously followed for similar symptoms and a computed tomography (CT) scan of the chest done in November 2012 demonstrated minimal basilar airspace disease.  At that time an extensive workup including autoimmune serology was unrevealing and her [...]

Case Presentation: A 55-year-old woman presented with 7 days of progressively worsening posterior neck pain, a low grade fever, odynophagia and hoarseness of her voice. Her past medical history includes diabetes mellitus, hypertension and osteoarthritis. A day after onset of the pain, she went to her primary care physician’s office for evaluation. A throat culture [...]

Case Presentation: A 72-year-old woman presented with sudden onset shortness of breath at rest without associated symptoms. She had a history of hypothyroidism, atrial fibrillation, and multiple myeloma converting to acute lymphocytic lymphoma currently treated with vincristine. A month prior, she was hospitalized for initiation of chemotherapy with her hospital course complicated by a right-sided [...]

Case Presentation:  A 67-year-old female with a history of hypothyroidism, type II diabetes and hypertension presented with acute on chronic diarrhea.  She reported a 9-month history of profuse watery stools, up to 15 times per day.  Outpatient workup including infectious stool studies, celiac panel, and allergy testing, had been unrevealing. Esophagogastroduodenoscopy and colonoscopy with biopsies [...]

Case Presentation: A 66-year-old Caucasian female presented with persistent fever (38.7 degrees Celsius) and non-productive cough with onset 4 weeks prior, and despite 2 courses of antibiotics, she developed right-sided neck swelling and pain about 2 weeks prior to admission.  Significant medical history included Immunoglobulin G (IgG) deficiency that was diagnosed nine months prior, and [...]

Case Presentation: A 68 year old male with a history of severe hemophilia (factor VIII <1%) and hypertension presented with symptoms of nausea, vomiting, severe dyspnea, diaphoresis and substernal chest pain for several days prior to admission. On initial presentation, electrocardiogram revealed ST-segment depressions in leads V5 and V6, with a troponin elevation to 24, [...]

Case Presentation: 52 year old woman presented with finger and hand pain in the setting of bites suffered from a Capuchin monkey. Five days prior to admission, the patient was bitten by her pet on her left first digit. She noted near immediate edema and erythema. After consultation with her primary care provider, she obtained [...]

Case Presentation: A 22-year-old female presented to the hospital with worsening pain and weakness in her left lower extremity. The patient reported non-healing ulcerations along her left leg and foot for the past month that she initially attributed to a bug bite while in the woods. She originally presented to an outside hospital and was [...]

Case Presentation: A 58 year-old woman with end stage liver disease due to hepatitis C virus (HCV), human immunodeficiency virus (HIV) with intermittent adherence to anti-retroviral regimen and who injects heroin presented to the emergency department with malaise and diffuse abdominal pain of two days duration.   On admission, the patient had a temperature of [...]