Case Presentation: The patient is a 16-year-old primigravid woman with past medical history of recurrent childhood UTIs and prior treatment for right pyelonephritis with hydronephrosis at 28 weeks’ gestation. At that time she had a right percutaneous nephrostomy tube placed with subsequent resolution of the right hydronephrosis.  Her urine culture grew Stenotrophomonas maltophilia and she [...]

Case Presentation: A healthy 48-year-old male presented to the emergency department with fever, joint pain, fatigue, malaise, and oliguria. One week prior he had been seen at an urgent care clinic for fevers, chills, nasal congestion, and sore throat and was formally diagnosed with influenza B and strep pharyngitis. At that office visit he was [...]

Case Presentation: A 43-year-old African American female with history of Herpes Simplex Virus (HSV) induced Erythema Multiforme (EM) presented to the Emergency Department after six days of evolving oral blisters, cranio-caudal rash, odynophagia, nonproductive cough, and pruritus. Patient had been hospitalized six months prior with a biopsy supported diagnosis of EM. At that time serology [...]

Case Presentation: 59-year-old Male who presented to the Emergency Department (ED) with generalized rash and fevers. The patient stated that the rash started as a blister in his groin and then spread to the rest of his body. The patient’s past medical history was significant for seizures controlled with phenytoin, cirrhosis secondary to alcohol abuse, [...]

Case Presentation: A 66 year-old woman with Waldenstrom macroglobulinemia (WM), hypertension, and hyperlipidemia presented with acute altered mental status. She had been diagnosed with WM by bone marrow biopsy and was treated with rituximab, then maintained on thalidomide until 2 months prior to presentation. Her mother had suffered from multiple myeloma. Vital signs were normal. [...]

Case Presentation: A 53-year-old man with HIV/AIDS on HAART was admitted with nausea, vomiting, diarrhea, and a right facial droop of three days duration. Six months prior to admission he had an absolute CD4 cell count of 287 cells/mm3, an absolute lymphocyte count of 1402 cells/mm3, CD4:CD8 ratio of 0.4, and undetectable viral load. At [...]

Case Presentation: A 75 year-old man presented with one month of leg swelling and early satiety. He had a history of coronary artery disease and atrial fibrillation (managed with amiodarone for the past 2 years). He recently initiated furosemide treatment but had no history of symptomatic heart failure. Physical exam showed elevated jugular venous pressures, an irregularly irregular heart [...]

Case Presentation:  A 73 year old female was diagnosed with Giant Cell Arteritis (GCA), confirmed on temporal artery biopsy. She was treated with prednisone for many years but steroid therapy was recently discontinued. 8 months after discontinuation of prednisone, she presented to the emergency department with a 3 day history of nausea, lower abdominal pain [...]

Case Presentation: A 37-year-old gentleman with a history of metastatic carcinoid tumor with metastases to the liver and mediastinal lymph nodes was admitted to the hospital after presenting to the ED with three days of fevers and altered mental status. On presentation there was no overt source of infection. He had chronic abdominal pain that [...]

Case Presentation: A 67 year old female presented to an outside facility with four months of intermittent abdominal pain and alternating episodes of diarrhea and constipation. CT scan of the abdomen and pelvis showed a large lobulated mesenteric mass closely adherent to adjacent bowel and encasing the SMA and SMV. A CT-guided core needle biopsy [...]