Case Presentation: A 73-year-old male patient was admitted to our hospital for fever, edema, and painful extremities. He has long-standing type 2 diabetes mellitus of 23 years. Four months before the present hospitalization, despite the body temperature of 37°C, he noticed edema, painful bilateral dorsum of the hands and feet, and poor physical condition. One [...]

Case Presentation: An 82-year-old woman with a history of bladder diverticulum, neurogenic bladder, and atrial fibrillation was admitted to the intensive care unit because of an altered mental status. For 10 years, she had experienced recurrent urinary tract infections (UTIs) following total hysterectomy. She had no history of alcohol abuse or liver disease. On examination, [...]

Case Presentation: A 42-year-old woman was admitted for recurrent multifocal cerebral infarction. She had five episodes of consecutive strokes involving different vascular territories over 8 months resulting in expressive aphasia, visual deficits, and extremity weakness. All laboratory and urine studies, including autoimmune and hypercoaguable workup were unremarkable. Treponema and HIV serologies were negative. Initial cerebral [...]

Case Presentation: A 49 year-old man with history of renal transplant due to focal segmental glomerulosclerosis on mycophenolate and prednisone presented with chest tightness, shortness of breath, and productive cough with white sputum for several weeks. He was admitted one month prior with similar complaints and diagnosed with multi-lobar pneumonia. On admission, vital signs were [...]

Case Presentation: A 68-year-old Chinese man was admitted for giddiness, lethargy and lower limb oedema for 1 day. He had no significant past medical history. Clinical examination revealed that he was dehydrated and hypotensive, with a systolic blood pressure of 70 mmHg. Examination of his cardiovascular, respiratory and abdominal systems was unremarkable. Blood investigations were [...]

Case Presentation: A 61-year-old African American male with DMII and HTN, presented with intermittent muscle twitching, abdominal pain and fatigue of 2 weeks duration. Physical exam was notable for subtle myoclonic jerks and mild pitting edema of bilateral lower extremities. Lab work showed hemoglobin of 6.6 g/dl, potassium of 5.8 mEq/L and creatinine of 12.2 [...]

Case Presentation: A 63-year-old male presented with altered mental status of one day duration. The patient’s history was significant for CAD, CKD Stage 3, and a recent whipple procedure for cholangiocarcinoma complicated by abdominal abscess requiring percutaneous drainage and prolonged course of ertapenem (renally dosed). He was admitted to the hospital with encephalopathy after having [...]

Case Presentation: 32-year-old previously healthy man presented with a week of fatigue and five days of low-grade fevers. He reported mild left abdominal pain worsened with inspiration. He denied a sore throat and other upper respiratory symptoms. He recently travelled to northern Wisconsin where he obtained multiple mosquito bites. He had been in contact with [...]

Case Presentation: Boerhaave’s syndrome, or effort rupture of the esophagus, is a rare and potentially life-threatening surgical emergency occurring in about 3.1/1,000,000 people per year1. We present a case of Boerhaave’s syndrome associated with cannabinoid hyperemesis syndrome (CHS). Discussion: A 21-year-old male with a history of daily marijuana use for the last 5 years presented [...]

Case Presentation: An elderly man was diagnosed with clear cell renal cell carcinoma in 1987, and treated with left nephrectomy, though developed multi-organ metastatic disease in 2015. After he did not tolerate initial treatment with sunitinib, he received 15 cycles of NKTR-214 and nivolumab as part of a phase I/II study. Three months after his [...]