Case Presentation: A 48-year-old man without significant past medical history presented with 1 week of left eye central vision loss and left frontal headache. He denied eye pain or photophobia. Examination revealed left relative afferent pupillary defect and visual acuity at count fingers at 4 feet. Fundoscopic examination showed grade 5 disc/retinal edema with flame […]

Case Presentation: A healthy 44-year-old woman with latent TB on isoniazid (INH) for 6 months was sent to the hospital by her primary care physician for elevated liver tests and right sided abdominal pain, anorexia, and jaundice for two weeks. She had normal liver tests prior to starting INH. She denied illicit drugs, alcohol or […]

Case Presentation: A 55-year-old previously incarcerated male with a history of tuberculosis and a 27-year-old incarcerated male both with a history of cough and hemoptysis, and a 56-year-old female with pulmonary nodules, right ankle pain, and swelling, all presented to the ED at a tertiary center in Wisconsin. All three patients shared a constellation of […]

Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced […]

Case Presentation: A 38 year old man presented to the ED noting 12 days of yellowing of his eyes and 3 days of abdominal pain and swelling. He endorsed subjective fevers and noted drinking 8 beers daily. He immigrated from Mexico 12 years ago. Exam showed tachycardia, tachypnea, scleral icterus, and distended abdomen with fluid […]