Background: Osteomyelitis is an acute or chronic infection of the bone structures which can be caused by either bacteria, fungi, or mycobacteria. Studies have reported a high annual incident of about 1 in 675 hospital admission in the United States. The overall incident is higher in the male population for reasons unclear and increases with [...]

Case Presentation: A 76-year-old male with metastatic renal cell carcinoma presented to the hospital due to multiple syncopal episodes. The patient was prescribed pembrolizumab by infusion every 3 weeks (last dose was a week and a half prior). His presenting vitals were significant for a heart rate of 30 beats per minute and systolic blood [...]

Background: COVID-19 vaccines have greatly decreased both rate of morbidity and mortality of the COVID-19 infection, but studies have reported myocarditis in patients after vaccination especially with mRNA vaccines. The purpose of this study is to identify if there is a significant correlation between COVID-19 vaccines and myocarditis. Methods: We systematically searched PubMed, Web of [...]

Case Presentation: Our patient is a 27 y/o male with PMHx of HIV (CD4 count 740, HIV viral load 100 copies/mL), Type I Diabetes who presented to the emergency room for tachycardia and fever. ED vitals notable for temperature of 39.1° C and heart rate of 108. White blood cells notable to be 13.8 thousand/mcL. [...]

Case Presentation: A 66-year-old male presented to the emergency department with complaints of intermittent high-grade fever of 38℃ for five days and non-specific chest pain for the past 6 hours. The pain was gradual in onset and was a dull nagging type of pain radiating to his left shoulder. He was tachycardic and had shortness [...]

Case Presentation: 45 year old female with history of pulmonary embolism seven years ago not on anticoagulation presented with chest pain of 4 weeks. Chest pain was sharp, retrosternal, radiating to left upper extremity, neck & back. Chest pain was also positional, worse laying flat but improved on sitting up. It started 48-72 hours of [...]

Case Presentation: A 78-year-old gentleman with a past medical history of scalp melanoma, renal papillary cell carcinoma, Ewing sarcoma, and end-stage renal disease presented to an outpatient Oncology appointment with bilateral ptosis, diplopia, myalgias, and bilateral proximal leg weakness less than one week following pembrolizumab infusion and influenza vaccination. He was sent to outpatient Neurology [...]

Case Presentation: A 61-year-old female awoke one morning to thirty minutes of right sided weakness and slurred speech prompting hospital admission for stroke. Treatment with metronidazole and ciprofloxacin for colitis diagnosed two days ago was continued in hospital. Diffusion weighted imaging (DWI) of the brain MRI revealed infarctions in multiple vascular territories involving bilateral cerebral [...]

Case Presentation: A 56-year-old previously healthy Caucasian woman was evaluated by a neurologist for seizure-like activity and syncope. She was placed on a Holter monitor that showed episodes of paroxysmal supraventricular tachycardia, ventricular tachycardia (VT), and third-degree AV block. She presented to the emergency department with chest pain, a new left bundle branch block, and [...]

Case Presentation: A 15-week G2P3 pregnant 33-year-old woman with past medical history of chronic hepatitis C, current intravenous drug use (IVDU) presented from a correctional facility complaining of abdominal pain and hematuria. Exam revealed a gravid uterus and bilateral pedal edema. Patient responding only to pain and not following commands. Temp 102.8 F, HR 120’s [...]