Case Presentation: 52-year-old male with no past medical history, presents to the emergency room for complaints of worsening diffuse abdominal discomfort of one-day duration. Pain was located in lower part of abdomen, dull in character, non-radiating, 10/10 in intensity associated with nausea, and subjective fever .Vital signs were significant with a temperature of 101.1 degrees […]

Case Presentation: 35-year-old female with past medical history of mitochondrial disease, asthma, Fanconi syndrome, diabetes mellitus, and GERD presented to the hospital with a four-day history of dyspnea due to Rhinovirus seen on respiratory panel. The patient was managed in the intensive care unit for non-invasive ventilation support, and received solumedrol, albuterol, ipratropium, and azithromycin. […]

Case Presentation: West Nile (WN) virus, a member of the Japanese encephalitis virus antigenic complex, is the leading cause of mosquito-borne disease in the continental United States. Approximately 1 out of 250 patients develop neuroinvasive disease including encephalitis, meningitis, acute flaccid paralysis and opsoclonus-myoclonus syndrome (OMS). Sparse data exist regarding potential treatments for WN virus […]

Case Presentation: Cardiac amyloidosis- a multiorgan disease, which carries a grave prognosis due to its rarity and nonspecific presentation. We report a case of systemic AL amyloidosis with predominant cardiac and renal involvement associated with multiple myeloma.• A 60-year-old male presented with progressively worsening anasarca including 3+ pitting edema in all extremities, and 80 lbs. […]

Case Presentation: To our knowledge, no prior case of simultaneous hydralazine induced lupus (HIL) with diffuse alveolar hemorrhage (DAH), and antiphospholipid antibody syndrome (APLA) is reported. We report this case due to extreme complexity as prompt diagnosis and appropriate management are crucial to survival.A 68- year- old female with a history of cirrhosis and hypertension […]

Case Presentation: A 61-year-old male with a history of alcohol abuse and Insulin-dependent diabetes mellitus presented with complaints of retrosternal chest pain and multiple bouts of coffee-ground emesis for three days. He reported a three-day binge of drinking vodka prior to the presentation. On examination, he was tachycardic, tachypneic, but normotensive. Hand and tongue tremors […]

Case Presentation: A 33-year-old female with a history of attention deficit hyperactivity disorder (ADHD) controlled by Adderall (10 mg QAM and 20 mg QHS), two miscarriages, and depression controlled by Bupropion and Fluoxetine, presented to the hospital with complaints of crampy abdominal pain followed by bloody diarrhea. On further history, she reported a fever of […]

Case Presentation: 52-year-old female without significant history presented with 3 days of fever, sweating, and epigastric pain. BP 190/100 with heart rate of 86. Afebrile. Exam remarkable for mild abdominal tenderness. Laboratory testing demonstrated WBCs 27.3, lactate 4.8, troponin T 0.69, and NT pro-BNP 20,800. EKG showed sinus rhythm with nonspecific T wave changes. Negative […]

Case Presentation: A 35-year-old male with past-medical-history significant for cerebral palsy and ventriculoperitoneal shunt for ventriculomegaly was admitted with fever. Patient had completed a course of levofloxacin before admission. Patient was started on azithromycin and meropenem, for possible aspiration pneumonia, because of penicillin allergy. He continued to be febrile with elevated leukocytes despite antibiotics. Considering […]

Case Presentation: An 83-year-old male with a history of hypertension and coronary artery disease presented to the ED with complaints of persistent hiccups for 1-week duration associated with drooling, decreased appetite, inability to lie flat, and significant weight loss over several months. He was hemodynamically stable and afebrile but noted to have diffuse abdominal tenderness […]