Case Presentation: 69-year-old-female with past medical history significant for Heart Failure with preserved ejection fraction (HFpEF), chronic lymphedema, and hypertension presented with 1 week of shortness of breath, melena and dysphagia. On admission, vital signs were notable for hypotension and physical examination revealed bibasilar rales and abdominal distension. Laboratory findings showed hyponatremia (129 mmol/L), elevated [...]

Case Presentation: A 61-year-old, non-smoking, white female with history of Coronavirus disease 2019 (COVID-19) twice, and long COVID syndrome, presented with progressively worsening dyspnea over the last five months. She was repeatedly diagnosed with pneumonia and treated with antibiotics and steroids without relief prior to hospital presentation. Workup in the hospital revealed neutrophilic leukocytosis, but [...]

Case Presentation: The patient is a 58-year-old hispanic man with a past medical history of decompensated hepatitis C virus, alcoholic cirrhosis, hepatocellular carcinoma (HCC), and asthma who presented for definitive management of his known hepatic mass. Based on prior work up and imaging, this mass was presumed to be HCC. He presented to the hospital [...]

Case Presentation: An 83-year-old man with coronary artery bypass graft, atrial fibrillation, pacemaker, and chronic lymphocytic lymphoma (CLL), presented with a week of dizziness, generalized weakness, blurred vision, word-finding difficulties, and confusion. Dysmetria and peripheral vision loss on the right were notable. No fever. Labs were unremarkable except for mild anemia, lymphocytic leukocytosis, and neutropenia. [...]

Case Presentation: This report presents a rare case of cefepime-induced neutropenic fever in a 25-year-old male with a history of frontal lobe arteriovenous malformation (AVM), status post surgical resection, and meningitis. The patient had no prior hematologic abnormalities. His previous admission was for new-onset seizures and severe headaches lasting 3 months. CT imaging revealed a [...]

Case Presentation: A 38 year-old female with Crohn’s disease on infliximab presented to the ED with 3 weeks of fever, cough, and shortness of breath (SOB) unresponsive to a 10-day course of levofloxacin for presumed community acquired pneumonia (CAP). She emigrated from Ecuador in 2001 and was employed as a medical assistant in a private [...]

Case Presentation: A 43 year-old man presented with one day of diffuse joint pains and fevers. He had new onset severe joint pains and stiffness of the neck, shoulders, elbows, wrists, fingers, hips, knees, and ankles. He used a continuous subcutaneous insulin infusion device to manage type 1 diabetes. He recently had a small bowel [...]

Case Presentation: A 53-year-old female with chronic small fiber polyneuropathy and erythromelalgia presented with severe headaches, nausea, vomiting, diarrhea, body aches, photophobia, and neck stiffness for two days. Symptoms started one week after receiving intravenous immunoglobulin (IVIG) for an erythromelalgia flare. On presentation to the ER, she was afebrile and physical examination was unremarkable. Respiratory [...]

Case Presentation: The patient was a 74-year-old male with past medical history significant for atrial fibrillation and Type II Diabetes Mellitus who presented due to 5 days of diarrhea and change in mental status. Per family, the patient had poor oral intake for the past week. Pertinent vitals included heart rate of 123 beats/minute, respirations [...]

Case Presentation: A 48-year-old woman with a history of fibromyalgia presented with a three-month history of progressive dyspnea, muscle weakness, weight loss (20 kg), and worsening respiratory symptoms. She initially sought care for productive cough, fever, and dyspnea, receiving treatment for pneumonia with ceftriaxone on two occasions with transient symptom relief. However, her symptoms recurred [...]