Case Presentation: We present a case of a 59 year old man with a history of HTN, T2DM (a1c 8.3%) and splenectomy in 1981 who presented with two weeks of progressive constipation, episodic flushing, sweating, palpitations and severe lightheadedness, no longer able to stand.On admission he was tachycardic to 140 and hypertensive to 200/120. CT [...]

Case Presentation: A 32-year-old woman with history of recurrent urinary tract infections (UTI) presented with malaise and dysuria. Vitals were notable for low grade fever, tachycardia, and hypotension (85/50). Physical exam with 2+ pitting edema and bilateral costovertebral angle tenderness. The white blood cell count was 23,000 cubic mm, creatinine 6.4 mg/dL (baseline 0.6 mg/dL), [...]

Case Presentation: A 30-year-old G3P1011 female with a past medical history significant for locally metastatic ER/PR+ mucinous breast cancer previously on maintenance tamoxifen, presented to obstetrics triage with chief complaints of nausea, vomiting, constipation, and urinary frequency. The patient intentionally discontinued tamoxifen therapy in order to conceive and was 18 weeks gestation at presentation. She [...]

Case Presentation: A 56-year-old male with a past medical history of hemophagocytic lymphohistiocytosis (HLH), in remission following chemotherapy in 2018, left MCA CVA in 2016 without significant residual deficits, restless leg syndrome, neurodegenerative motor neuron disease with lower extremity spasticity, and peripheral neuropathy was brought to the hospital for weeks of increasing confusion and generalized [...]

Case Presentation: A 71 year old woman with a history of rheumatoid arthritis with multiple previous emergency room visits for fever presented with fatigue and weakness. Over the past few months she had nearly daily fevers, with decreased oral intake and urination over the past week. Her family members had previously tested positive for Influenza, [...]

Case Presentation: A 34-year-old male without significant past medical history presented with fevers, progressive purpuric rash that started in the ankles and spread in a centrifugal distribution, joint stiffness, as well as a rapidly progressive right-sided neck mass. Two weeks prior to presentation he had experienced sore throat and subjective fevers which self-resolved. One week [...]

Case Presentation: A 32 year old male with alcohol abuse and Kratom use was initially hospitalized for 7 days for acute alcoholic pancreatitis and discharged with corticosteroids due to concern for alcoholic hepatitis. On day 14 of corticosteroids, he was readmitted for acute blood loss anemia requiring transfusion. Initial esophagogastroduodenoscopy (EGD) showed gastric mucormycosis on [...]

Case Presentation: A 63-year-old male with a past medical history of end-stage renal disease status post living-related kidney transplant three years ago presented with dyspnea and joint pain. His immunosuppressive regimen included mycophenolate mofetil, prednisone, and belatacept, which was switched to everolimus due to concern for synovitis at outpatient rheumatology one month prior when he [...]

Case Presentation: An 87 year old male with a history of bilateral cataract surgery 18 months prior and recent immigration to the United States as a farmer from Honduras presented for bilateral vision loss and eye pain worsening over the last 3 months. Evaluation by Ophthalmology revealed left panuveitis, right anterior uveitis, and right retinal [...]

Case Presentation: A 36-year-old male with history of keratoconus, corneal scars following corneal transplant, asthma, eczema, chronic herpes simplex virus 1 (HSV-1) and varicella zoster virus (VZV), presented with concerns of eye involvement secondary to HSV-1 versus VZV reactivation. Physical examination revealed periorbital edema, vesicular lesions in trigeminal nerve ophthalmic distribution, neck and upper extremities. [...]