Case Presentation: A 62-year-old white male, without significant past medical history or risk factors, was referred to our clinic for arrhythmia evaluation. The patient had several brief episodes of palpitations for the last two months. On physical examination blowing systolic murmur at the apex and irregularly irregular rhythm were noticed. The 12-lead ECG demonstrated atrial […]

Case Presentation: A 29-year-old woman with a history of two first trimester losses, spontaneous hematoma and deep vein thrombosis was hospitalized for the management of acute anemia. Six weeks prior, she was hospitalized for a spontaneous right calf hematoma. Four weeks later, she was diagnosed with an unprovoked acute right popliteal vein thrombus and was […]

Case Presentation: A 37 -year-old female with a past medical history of obesity status post bariatric surgery and hypothyroidism presented to ED for evaluation of progressive generalized weakness. The patient had a recent couple of hospital admission for recurrent rhabdomyolysis. During the hospitalization, she was found to have elevated creatine kinase (CK) level, hypokalemia, and […]

Case Presentation: This is an otherwise healthy 28-year-old female who presented with sudden, atraumatic left lower extremity paresis. With the same onset, she noted left-sided paresthesia and left upper extremity weakness. She additionally had a history of two episodes of transient, unilateral blurred vision. On admission, her examination revealed intact cranial nerves. Strength was intact […]

Case Presentation: A 53-year-old woman with a history of systemic lupus erythematosus (SLE) not on immunosuppressive therapy presented with confusion and body rash. She was discharged 2 weeks prior, following admission for bacterial meningitis and brain abscess; her abscess was drained with negative cultures, and she was discharged with a prolonged course of ceftriaxone and […]

Case Presentation: A 45-year-old female with a history of obesity on long-term phentermine presented with 2 months of progressive dyspnea on exertion, orthopnea, and lower extremity swelling. On presentation, the patient was tachycardic and normotensive. Her exam was notable for diffuse wheezing, jugular venous distension, and +2 bilateral lower extremity pitting edema. Labs were remarkable […]

Case Presentation: The patient is a 58-year-old female who was initially treated at an outside facility for severe COVID-19 infection that presented as a nonverbal encephalopathy. During this, she developed seizures and required intubation for airway protection. Labs were notable for hemoglobin: 7.7g/dL, calcium: 8.1 mg/dL, and arterial ammonia: 107 mcg/dL. Encephalopathy at that time […]

Case Presentation: Nocardia has a known predilection for brain tissue and may present with unique symptoms. We share a case of significant dysgeusia in a presumptively immunocompetent patient as a complication of disseminated nocardiosis.A 70-year-old previously healthy male with a history of diabetes, presented with three months of fatigue, productive cough, loss of appetite, and […]

Case Presentation: We present a case of a 44-year-old male with a history of FN liver abscess, diagnosed two years ago (treated with four weeks of ertapenem to complete resolution), who was brought to the emergency department with confusion, expressive aphasia, fever, and ataxia for three weeks. The patient was vitally stable. Lab workup showed […]

Case Presentation: 80-year-old retired bus driver was admitted to the ER after multiple falls at home, generalized weakness, back pain and body aches. Patient developed generalized weakness over the last two weeks. Patient reported four-day history of blurry vision involving the right eye and observed drooping of the right eyelid over the past two days […]