Case Presentation: A 39-year-old woman presented with 15 minutes of sharp, substernal chest pain four days after an uncomplicated vaginal delivery. Blood pressure was 158/84 mmHg, and the rest of the vitals were within normal limits. Labs and physical exam did not meet diagnostic criteria for preeclampsia. EKG and serial troponins were normal. CT scan [...]

Case Presentation: A 62-year-old female with a past medical history of stroke, obesity, hypertension, and hyperlipidemia presented to the emergency department with fever and altered mental status. She was started on empiric meningitis treatment and her mentation improved dramatically with eventual return to baseline. Cerebrospinal fluid (CSF) studies from a lumbar puncture performed later during [...]

Case Presentation: A 53-year-old woman with thrice-recurrent AML presented to the emergency department with a few days of sinus pressure then neck soreness, mild headache, fatigue, and finally low-grade fever. She had a donor lymphocyte infusion 18 days prior but no signs/symptoms of graft-versus host disease. Her initial exam was non-focal and lacked meningeal signs [...]

Case Presentation: A 20 year old woman with a history of astrocytoma of thoracic and lumbar spine status post resection with subsequent neurogenic bladder and bowel presented with acute encephalopathy following a viral illness. Initial workup showed acute kidney injury (creatinine 2.21 mg/dL), normal hemoglobin (12 g/dL), new thrombocytopenia (platelet 60 K/uL), and urinalysis suggestive [...]

Case Presentation: A 55-year old female with cirrhosis secondary to chronic hepatitis B infection non-adherent with Entecavir therapy presented with altered mental status, diarrhea, abdominal pain, and emesis. Vital signs revealed hypotension, tachycardia, and tachypnea. Exam revealed somnolence and significant abdominal distension without guarding, rebound, or rigidity. Laboratory evaluation was remarkable for a leukocytosis to [...]

Case Presentation: A 66-year-old Caucasian man presented to his primary care physician with significant fatigue and night sweats associated with 30-pound weight loss, headaches, and dyspnea on exertion. He reported the onset of symptoms one week after returning from a hunting trip in Georgia where he caught and cleaned wild boar. After this initial outpatient [...]

Case Presentation: A 63-year-old man with significant history of deceased donor transplant (18 months prior to presentation), hypertension, diabetes mellitus, who presented with two weeks of fevers and malaise. His other symptoms included drenching night sweats, shortness of breath, and diffuse pleuritic chest pain, however he denied cough. A recent exposure was a renovation of [...]

Case Presentation: 22-year-old Caucasian male who presented to our Texas hospital with dyspnea. His symptoms started two days prior with fever to 103°F, vomiting, and a cough with white sputum. The patient worked as a bartender and endorsed daily tetrahydrocannabinol (THC) vaper use. Upon admission, he exhibited tachycardia (137 bpm), tachypnea (30 bpm), hypoxemia (O2 [...]

Case Presentation: A 68-year-old female with a history of Parkinson’s disease presented in the outpatient setting with a complaint of a spider bite on her right lower extremity. Over the course of a month this area of erythema progressed, and she developed generalized malaise, nonproductive cough, subjective fevers and chills, night sweats, dyspnea and worsening [...]

Case Presentation: A 51-year-old Caucasian male presented for evaluation of worsening lower extremity muscle weakness and associated myalgias. He received a diagnosis of NAM after three months of progressive proximal, symmetric upper and lower extremity weakness with myalgias, and an initial creatinine kinase (CK) of 13,875 IU/L. He had been on Atorvastatin 40 mg for [...]