Case Presentation: A 61-year-old male with biopsy-proven untreated pulmonary sarcoidosis presented with altered mental status and fever. He had recent admissions for occipital CVA after presenting with dizziness and blurred vision, and pulmonary emboli after presenting with fevers and dyspnea. Urinalysis and blood cultures were negative. (1-3)-B-d-glucan was elevated to 246 pg/mL (65 years), immunocompromise [...]

Case Presentation: A 63-year-old man with a history of hypertension presented with gait instability, progressive over one month, as well as positional hand tremors and nausea. On initial evaluation, he was afebrile with blood pressure of 169/98. Abnormalities on neurological examination included ocular flutter, left upper extremity dysmetria and wide-based cautious gait with bilateral leg [...]

Case Presentation: An 85 y/o man with non-small cell lung cancer and osseous metastases on pembrolizumab presented with 5 months of progressive weakness, intermittent nausea with non-bloody emesis, and decreased appetite with 20 lb. unintentional weight loss. Interval cancer surveillance with PET CT obtained 1 week prior showed a decrease in disease burden suggestive of [...]

Case Presentation: Young female with history of juvenile rheumatoid arthritis, not on any medications,

Case Presentation: An elderly male with history of hypertension and significant hearing impairment presented for the evaluation of progressive dyspnea on exertion. Patient had been experiencing dyspnea for a few months and family had noticed patient’s lips turning cyanotic on occasion. Admission vitals: temperature 100.8 degrees, BP 121/64, HR 96, RR 20, O2 sat 95% [...]

Case Presentation: A middle-aged female with hypertension, hyperlipidemia, and squamous cell cancer of oropharynx, presented to us for with syncope.In the six months prior to presentation, patient had had two admissions to the hospital for transient bradycardia leading to unresponsiveness. She had required brief round of CPR the first time, and IV epinephrine and intubation [...]

Case Presentation: We present a case of a 58 year old female with complaints of abdominal pain. The patient had six months of alternating fevers, chills and fatigue. She was placed on antibiotics but her fevers returned upon completion. Three months thereafter, the patient developed left lower quadrant abdominal pain that was sharp in nature [...]

Case Presentation: 59-year-old female with Celiac disease and Hypertension presented with polyneuropathy and distal extremity weakness, 6 weeks following shingles vaccine. Her symptoms had slowly progressed with increased numbness, paresthesia, weakness and an inability to ambulate over the previous 6 weeks until admission. She was in her normal state of health prior to that. On [...]

Case Presentation: A 60 year-old women with hypertension, coronary artery disease, COPD and gastroesophageal reflux, presented with one-day history of fever, witnessed tonic clonic seizure, confusion and lethargy. She reported headache for a month with back pain. Vital signs revealed fever 40 °C, tachycardia 128/min, tachypnea 32/min, and oxygen saturation of 100% on 2 L [...]

Case Presentation: A 33-year-old male with history of knee surgery, presented with migrating rash on the right foot after returning from Nigeria. He described the rash moving from the dorsal to the plantar aspect of the foot. He was deployed to Nigeria for 6 months as military personnel. He denied insect bites, consuming raw meat, [...]