Case Presentation: A 14-year-old boy with autism presented with a five-day history of high fever (40.5 degrees C), vomiting, shortness of breath, and a rash involving the palms-and-soles. He was evaluated at urgent care and was believed to have hand-foot-mouth disease. He was brought to the emergency department for ongoing symptoms, where he was noted […]

Case Presentation: Babesiosis, most commonly caused by Babesia microti and transmitted by the Ixodes tick, is one of the predominant tick-borne diseases of Northeast and upper Midwestern United States (1, 2). Clinical manifestations range from asymptomatic infection to severe fulminant disease, with fever being the most common presentation (3). Acute respiratory distress syndrome and disseminated […]

Case Presentation: A 41-year-old woman with a history of progressive ILD, Raynaud’s phenomenon, and Sjögren syndrome presented to ED for worsening dyspnea on exertion, malaise, fevers, chills, and body ache lasting more than 3 weeks. She had received treatment with antibiotics and a short course of steroids as an outpatient without effect. On physical exam, […]

Case Presentation: A 56 year old female patient with past medical history of hypertension and diabetes mellitus type 2 presents to the emergency department with a 1 day history of fever and confusion. Vitals showed a temperature of 101.4 F, heart rate at 112 beats per minute, blood pressure at 136/73. Initial lab work was […]

Case Presentation: A previously healthy 35-year-old woman presented with fever, dizziness, and weakness for 1 day. Three weeks prior, she had back pain and difficulty taking deep inspirations that was treated with a 10-day course of levofloxacin. The pain subsided; however, she noticed frothy urine. Other symptoms included a 30-pound weight loss in 4 months […]

Case Presentation: Central Adrenal Insufficiency (CAI) is a rare and often late diagnosis due to nonspecific signs, such as fatigue, hyponatremia, electrolyte abnormalities and fever of unknown origin (FUO). CAI suspicion arises in patients with pituitary tumors, cranial irradiation, surgery, injury, infection, exogenous glucocorticoid withdrawal, and less commonly known, opioid use disorder. A 31-year-old male […]

Case Presentation: A 24-year-old woman with no medical history presented with eight weeks of nausea, vomiting, and fevers. Six weeks prior to admission she had a positive monospot test, positive EBV IgG, and negative EBV IgM. Two weeks prior, she developed cyclical fevers, night sweats, and weight loss. She presented to the ED due to […]

Case Presentation: A 44-year-old female with rheumatoid arthritis, recently started on methotrexate and infliximab presented to hospital on two occasions, one month apart, with fever, malaise, night sweats and abdominal discomfort. On both occasions she was hypotensive and pancytopenic (initial WBC 2.04 K/UL, Hbg 6.2 g/dL and Plt 131 K/UL). Both admissions were also characterized […]

Case Presentation: 72 year old male presented with two months of fever, night sweats and malaise. He later developed dyspnea and was hospitalised twice. CT chest revealed scattered bilateral nodular lung opacities. He had dental work done prior to symptom onset and was thus thought to have right sided infective endocarditis (IE) with septic emboli. […]