Background: Coronavirus disease 2019 (COVID-19) is an acute viral illness affecting multiple systems caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Ever since its first detection in Wuhan, China in Nov 2019, SARS-CoV-2 has infected over 220 million people causing more than 4.5 million deaths worldwide and the numbers are increasing. [1] Dexamethasone, a steroid [...]

Case Presentation: A 44-year-old male with a past medical history of psoriatic arthritis [on Guselkumab], asthma presented to the ED with worsening shortness of breath for 10 days and midsternal chest pain for 3 days. He tested positive for COVID-19 one week before and received monoclonal antibodies 2 days before presentation. He had COVID-19 infection [...]

Case Presentation: A 50-year-old Hispanic male with osteoarthritis on chronic steroids of unknown dose from Mexico and type II diabetes mellitus was admitted to the hospital for generalized weakness and fall with questionable loss of consciousness. Physical examination revealed verrucous and nodular lesions on his right arm, posterior neck, and left thumb, but was otherwise [...]

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: Coccidioidomycosis is a fungal infection caused by the dimorphic organism Coccidioides commonly reported in the Southwest of the United States. Tumor necrosis factors inhibitors (TNFi) have become widely used to treat autoimmune and inflammatory conditions. But patients using TNFi are at increased risk of developing several infections, including coccidioidomycosis in endemic areas. Nevertheless, [...]