Case Presentation: A 56-year-old man with a history of ulcerative colitis (UC), treated with Adalimumab, returned from a 10-day cruise to Puerto Rico. He presented with 5-days of fever, chills, fatigue, anorexia and multiple loose stools daily. On presentation, he was ill-appearing, febrile (T = 102.8oF) and tachycardic (HR = 124 bpm). RR = 16 [...]

Case Presentation: A 44-year-old man with bicuspid aortic valve and atrial flutter was admitted to the hospital with dyspnea and found to have cardiogenic shock with rapid atrial fibrillation. He received inotropic agents, afterload reducing agents, and cardiac resynchronization therapy, resulting in improvement in symptoms and systolic function. Physical examination demonstrated vigorous carotid pulsations, known [...]

Case Presentation: A 24-year-old male with past medical history of sickle cell trait, bicytopenia (with a negative outpatient hematology and oncology workup) and diagnosed acute rheumatic fever 7 months earlier (on prophylactic penicillin BID) presents to the emergency department with 3 weeks of fevers, night sweats, migratory arthralgias and painful subcutaneous nodules involving primarily the [...]

Case Presentation: Case 1A 49 year old male without past medical history presented to the hospital with 2 weeks of painful bilateral ankle swelling followed by chest pain, cough, and fever. He denied family history of autoimmune disease. Chem 7 and complete blood count were unremarkable. Lower extremity ultrasonography was negative for deep venous thrombosis. [...]

Case Presentation: The patient is a 59-year-old male with chronic heart failure found to have cardiac sarcoidosis and subsequently treated inpatient with high-dose steroids. In addition, computed tomography imaging revealed pulmonary nodules. Due to a suspected infection, empirical antibiotics and antifungals were administered, however, treatment failed to clear the nodules. Further, weeks of antibiotic therapy [...]

Case Presentation: This patient is a 34 year old female presenting to the ED complaining of progressive weakness,SOB, bloody vomitus, and tarry stool. She had PMH significant for established diagnosis of Bean Syndrome. On presentation she was normotensive, 113/72mmHg but tachycardic 102. Labs revealed acute microcytic anemia H/H 6.7/23.6 MVC 70.9 prior to transfusion. She [...]

Case Presentation: A 60-year-old man with a history of nonverbal seizure disorder on lamotrigine presented to the Emergency Department, after being found down. The patient endorsed multiple episodes of syncope in the past 24 hours. Immediately preceding each episode, he felt an electric sensation on the left side of his head associated with what he [...]

Case Presentation: Salmonella is a Gram-negative rod with multiple serotypes. This bacterium is part of resident flora of poultry, which the most common source of Salmonella. Consumption of under cooked chicken is a risk factor for Salmonella infection, which can cause invasive gastroenteritis. In less than 5% of Salmonella infections, bacteremia occurs, and more seldom [...]

Case Presentation: 73 years old Caucasian female with a remote history of hysterectomy, and cesarean section presented with new left leg swelling and pain that began the previous day. She described the pain to be throbbing, localized, 8/10 in intensity, continuous, and not responding to ibuprofen. She denied any personal/family history of clots, recent travel, [...]

Case Presentation: A 27-year-old incarcerated female with no past medical history presented with abdominal pain and fevers. Initial workup demonstrated neutropenia, anemia, and thrombocytopenia as well as an elevated ferritin level of 2000mg/dL. Abdominal imaging revealed hepatomegaly and diffuse adenopathy concerning for a lymphoproliferative disorder. A comprehensive workup revealed a positive EBV PCR, positive HSV [...]