Case Presentation: An 83-year-old male with a history of paroxysmal atrial fibrillation, severe congestive heart failure, and end-stage renal disease on hemodialysis presented to the emergency department from outpatient dialysis for symptomatic bradycardia. He endorsed dizziness, dyspnea on exertion, and weakness. Additional history revealed he was recently admitted for a heart failure exacerbation and instructed [...]

Case Presentation: Lyme disease (LD) is caused by the Ixodes tick-borne infection with spirochetes Borrelia burgdorferi [1]. LD is most commonly reported in the Northeastern and upper Midwestern United States [2]. It is divided into three stages. Early localized, stage 1, with Erythema Migrans (EM) bull’s eye lesion present in 70-80% of patients [1], within [...]

Case Presentation: A 19 year-old woman with anxiety and recurrent fevers of unclear etiology presents with fever, sore throat, and body aches. Three days prior to presentation, the patient developed sore throat, dysphagia, and dysphonia. She presented to urgent care, started amoxicillin without improvement. She developed fevers (Tmax 104F) two days later, prompting an Emergency [...]

Case Presentation: Here we present a case of a 22-year-old female with a history of periodic fever who presented to our hospital with the chief complaint of cyclical fever. For four months prior to presentation, the patient had experienced fevers every four weeks, nearly to the date, that each lasted for two to three days, [...]

Case Presentation: A 30 year old male presented with symptoms of intermittent episodes of chest pain with palpitations, tremors associated with night sweats, heat intolerance, and unintentional weight loss for the last 6 months. He had no significant past medical history, did not take any medications at home, and had no prior surgeries. He denies [...]

Case Presentation: A 47-year-old female with a history significant for poorly controlled T1DM and hypothyroidism presented after being found unresponsive following episodes of vomiting for the past 24 hours. The patient was found to have DKA, high anion gap metabolic acidosis, and shock with blood pressure of 65/31. Labs showed blood glucose levels of 983, [...]

Case Presentation: A 37-year-old man with a history of alcoholic cirrhosis and treated hepatitis C virus (HCV) infection as well as IV opioid use presented to the hospital with elevated liver function tests on intake labs at a substance abuse facility. Several years prior to presentation, he completed hepatitis C infection treatment with ledipasvir/sofosbuvir with [...]

Case Presentation: A 31-year-old male presented with severe, progressive occipital headache that started four weeks ago. The headache was worse on standing and sitting up and relieved by lying flat. Associated symptoms included nausea, vomiting, tinnitus and blurry vision. A complete neurological exam including cranial, spinal, fundal, upper and lower limb examination was normal with [...]

Case Presentation: A 68 year old man with PMH of cerebral palsy, cognitive impairment, and chronic pain with intrathecal baclofen pump initially presented with sepsis due to baclofen pump pocket infection, and underwent explantation of baclofen pump. Intraoperative cultures grew pseudomonas, so on POD 3 cefepime was initiated. On POD 4, he developed encephalopathy, becoming [...]

Case Presentation: Our patient is a 42-year-old female with a past medical history notable for bulimia nervosa that presented to the hospital with a several-month history of worsening confusion and disorientation. The patient’s daughter reported that during this time she had occasional nausea, vomiting, poor appetite, and lower extremity weakness. She also reported that the [...]