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 38 year old male with a history of anxiety and hypothyroidism who received the second dose of SARS-COV2 Pfizer-Biontech vaccination 17 days prior, presented with 4 days of severe gingival bleeding after dental cleaning, epistaxis and a petechial rash of his extremities and was found to have new onset severe thrombocytopenia of [...]

Case Presentation: A 40 year-old female presented to the Emergency Department with several months of fatigue followed by acute fever and confusion. She denied weight loss, swollen glands, cough, rash, arthralgias, or myalgias. No drug or alcohol use. She was febrile to 102.5F. The remainder of the vital signs were normal, and the neuro exam [...]

Case Presentation: A 39-year-old male with no past medical history presented with four days of a constant “pins and needles” sensation located from fingertips through elbows bilaterally as well as progressive shortness of breath and fatigue. He reported feeling unbalanced and light-headed. Additionally, for seven months he experienced confusion including word finding difficulties. Further history [...]