Case Presentation: A 58 year old male with a past medical history of hypertension, hyperlipidemia, diabetes mellitus type 2, and stage 4 chronic kidney disease presented to the ED for 3 weeks of weakness, dyspnea, and bilateral lower extremity edema. Exam and workup was notable for anasarca, albumin of 1.8 g/dL, and CT with ascites [...]

Case Presentation: A 23-year-old male with granulomatosis with polyangiitis with renal involvement (on azathioprine), stage 4 chronic kidney disease (baseline renal function) presented with fever, weight loss, and new pancytopenia. Broad-spectrum antibiotics were started and a comprehensive infectious work-up was done, including bacterial cultures, viral tests, and fungal serologies. Initial imaging was unremarkable for any [...]

Case Presentation: A 55-year-old female with a past medical history of stage IV intranasal mucosal melanoma (status post resection of the nasopharynx, medial maxilla, floor of the sphenoid sinus, and clivus – two years prior) and current use of nivolumab presented to the hospital with two weeks of a worsening, pressure-like right temporal headache and [...]

Case Presentation: A 51 year-old male with paranoid schizophrenia, hypertension and type 2 diabetes mellitus was admitted to an inpatient psychiatric hospital for decompensated schizophrenia in the setting of medication nonadherence. Treatment included initiation and up-titration of clozapine. Within three weeks, he developed generalized abdominal pain, non-bilious non-bloody emesis and diarrhea. Exam was notable for [...]

Case Presentation: A 57-year-old African American man with a past medical history of alcohol use disorder, treatment naive chronic hepatitis C infection, and epilepsy presented with left flank pain without urinary symptoms. A non-contrast abdominal CT scan did not show renal pathology but showed compression fracture the L1 vertebra with paravertebral soft tissue and stranding. [...]

Case Presentation: A 62-year-old man with hypertension, type 2 diabetes mellitus, benign prostatic hyperplasia (BPH), and history of cerebellar stroke syndrome secondary to a remote vertebral artery dissection presented for positional lightheadedness. Four months prior to presentation, he developed positional lightheadedness associated with standing that forced him to widen his gait for steadiness; these episodes [...]

Case Presentation: A 60-year-old male presented to the emergency department with a one day history of emesis, dysphagia, and odynophagia. He endorsed pain in the middle thoracic esophageal region which was worse with swallowing. Initially, his emesis was non-bloody, then subsequent episodes resulted in small amounts of bright red blood. Past medical history was pertinent for alcohol [...]

Case Presentation: A 75-year-old man with coronary artery disease and triple vessel coronary artery bypass graft surgery with a LIMA-LAD, saphenous vein graft to obtuse marginal and right coronary artery (SVG-OM and SVG-RCA) fifteen years prior presented to his local Veterans Affairs hospital with dizziness and recurrent falls. His medical history included atrial fibrillation, diabetes, [...]

Case Presentation: Neisseria sicca is a gram-negative diplococcus that colonizes the nasopharynx. Severe infections, including bacteremia, from Neisseria sicca are very rare. We present a case of an immunocompromised 51-year-old female that was admitted with Neisseria sicca bacteremia complicated by an acute renal transplantation rejection.A 51-year-old female with a past medical history notable for type [...]

Case Presentation: A 62-year-old male with a history of Parkinson’s disease presented with worsening left leg pain and swelling for approximately one month. The patient denied any history of immobility, recent travel, malignancy, or history of blood clots or thrombophilic disorders. Physical exam was remarkable for massive abdominal distention and marked swelling of the entire [...]