Case Presentation: We describe a 55-year-old lady who presented with a three-day-history of right-sided ptosis, and ophthalmology. She also reported diplopia, subjective fevers, anorexia, and an unintentional weight loss of five pounds over the preceding ten days. She denied headaches, nausea, and vomiting. Her medical problems include HIV, on highly aggressive antiretroviral therapy, history of […]

Case Presentation: A 57-year-old male with HIV, heart failure with reduced ejection fraction, and hypothyroidism initially presented for dyspnea on exertion, found on EKG to have electrical alternans. Telemetry showed intermittent type2 second degree AV block. Transthoracic echocardiogram was notable for large pericardial effusion, ejection fraction 35%, grade 1 diastolic dysfunction, early diastolic right ventricular […]

Case Presentation: Implanted central venous port catheters (ports) are widely used for chemotherapy, total parenteral nutrition and blood monitoring. If placed in the subclavian vein, up to 15% of patients who receive implanted ports have immediate complications, including venous injury, pneumothorax and pneumomediastinum. Long-term ports are associated with delayed complications, including thrombosis, occurring in 1.9-21.5% […]

Case Presentation: A 69 year old male patient who at baseline was fully functional, presented with new-onset, progressive left lower extremity (LLE) weakness for 8 days. Patient’s weakness began with difficulty sitting to standing and progressed to inability to climb stairs, requiring a cane and then wheelchair in a span of 5 days. He had […]

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: A 48 year-old male presented Landstuhl Regional Medical Center with epigastric pain and fevers that had progressed to pain in the right lower quadrant. He lived in Cameroon until 30 years old and had recently deployed to West Africa. Computed Tomography (CT) of his abdomen demonstrated thickening of his right colon with extra-luminal […]

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. […]