Case Presentation: A previously healthy 57-year-old man with a history of chronic sinusitis who received the Ad26.COV2.S vaccination 13 days ago without incident presented to the ED with left lower extremity swelling and pain, left medial thigh ecchymosis, transient episodes of right hand paresthesia and weakness, severe headache with transient blurry vision, and progressively worsening […]

Case Presentation: A 3-month-old male of Asian descent with a past medical history of congenital CMV and right-sided sensorineural hearing loss presented to the ED with two days of GI bleeding tendencies, easy bruising, and diffuse rash. The patient was otherwise healthy with normal appetite and vital signs. He had no falls, traumas, or sick […]

Case Presentation: A 19-year-old male with recent diagnosis of human immunodeficiency virus (HIV) (CD4 580/mm³ and viral load 1.2 million/mm³) and Kaposi sarcoma (KS) was transferred to our hospital for refractory thrombocytopenia. Prior to his presentation, he experienced a month of fatigue, night sweats, weight loss, and facial and neck swelling. His outside hospital workup […]

Case Presentation: 39-year-old African American male presented with dyspnea and hematuria for one week. His past medical history includes stage 3 CKD and hypertension. In the emergency room he was found to be severely hypertensive with systolic blood pressures hovering around 240 mmHg. Initial laboratory tests revealed significantly elevated creatinine level from baseline and new-onset […]

Case Presentation: A 46-year-old male with no known past medical history presents with worsening chronic cough of one-year duration. He also reports shortness of breath and increasing fatigue during the same timeframe. On presentation, he is noted to have numerous umbilicated facial lesions that are actively bleeding. He was febrile to 103F, tachycardic to 130s, […]

Case Presentation: 56-year-old woman presented with fluctuating sensorium for 5 days and left side weakness of one day duration. She has past medical history of hypothyroidism and hyperlipidemia. Her home medications included levothyroxine and atorvastatin. She received two doses of mRNA-1273 vaccine, with first dose being around 12 weeks before presentation and second dose 8 […]

Case Presentation: A 57-year-old male with multiple medical conditions presented to the Emergency Room (ER) for evaluation of worsening skin rash and bleeding gums. The patient was discharged from the hospital 3 days ago and treated for an infected left prosthetic knee joint, he initially received empiric antibiotics Vancomycin and Piperacillin-Tazobactam, Cultures from tissue sample […]

Case Presentation: The patient is a 49 year-old female with end stage renal disease (ESRD) and obesity who initially presented to the emergency department (ED) for acute onset epigastric abdominal pain and hematemesis. She had a gastric sleeve procedure two weeks prior to presentation in preparation for renal transplant. She required 2 units of packed […]

Case Presentation: A 28 year-old unvaccinated man with a history of Hodgkin’s lymphoma in remission presented with thrombocytopenia. Six weeks ago, he was exposed to COVID-19 and developed cough and rhinorrhea. He was not tested but started taking hydroxychloroquine and azithromycin. Three weeks prior to admission, he began noticing mucosal bleeding. One week prior to […]

Case Presentation: A 53-year-old man with a history of well controlled seizures presented with a swollen left leg, hypoxia and palpitations after a trans-Atlantic flight. Chest computed tomography showed bilateral subsegmental pulmonary emboli, with no evidence of right heart strain. Doppler ultrasonography of the lower extremities showed significant clot burden in the left femoral, popliteal, […]