Background: Coronavirus-19 (COVID-19), primarily a respiratory virus, can affect multiple organs, including the heart. Cardiac complications can affect 20-30% of COVID-19 patients and lead to worse morbidity and mortality. Cardiovascular complications can include myocarditis, acute myocardial infarction, heart failure, and arrhythmias Myocarditis is a well-known complication among COVID-19 infections, with limited large-scale studies evaluating outcomes […]

Case Presentation: A 51-year-old morbidly obese male without any significant past medical history presented to the hospital for evaluation of one month history of worsening dyspnea on exertion associated with orthopnea and PND. He was hemodynamically stable and physical examination revealed 2+ bilateral lower extremity pitting edema. Initial laboratory workup was significant for high-sensitivity troponin […]

Case Presentation: A 32 year old previously healthy male presented to the emergency department with acute non-exertional chest pressure with radiation to the back and jaw three days after receiving his third COVID-19 vaccine, a Pfizer-BioNTech, and 6 months after his initial two series Astra-Zeneca COVID-19 vaccines. His chest pain was improved with leaning forward. […]

Case Presentation: Bacterial osteomyelitis is very challenging to treat. This is partly due to the widespread antimicrobial resistance to gram positive bacterium Staphylococcus Aureus. We present a severe case of disseminated staphylococcus aureus osteomyelitis, that includes bacteriemia, psoas abscess, infective endocarditis, osteomyelitis, septic arthritis of knee and shoulder joints. A 63-year-old woman with poorly controlled […]

Case Presentation: A 36-year-old male presented to the emergency room with complaints of fever, exertional dyspnea, chest pain, and fatigue for two days. He describes his chest pain as sharp, substernal, and aggravated by lying down or inspiration. He denied any previous viral infection, cough, skin rashes, or joint involvement. He states that he has […]

Case Presentation: A 36-year-old man with 2 prior mechanical valve replacement for congenital aortic valve stenosis presents to the hospital with 2-week history of fever, chills, fatigue, generalized weakness and malaise. He had his first aortic valve replacement at the age of 17 and redo for valve for restenosis of the aortic valve with severe […]

Case Presentation: A 27-year-old man with a family history of Grave’s Disease presented with acute onset pleuritic chest pain and associated shortness of breath. The patient endorsed subjective fevers and myalgias for one day prior to admission. Vital signs were significant for a heart rate of 110, otherwise unremarkable. Initial work-up showed troponin elevation to […]

Case Presentation: A 54 year old male with a history of intravenous drug use presented for three days of altered mental status, dyspnea, and low urine output. He was previously admitted a month ago for septic shock secondary to aortic valve endocarditis and underwent aortic valve repair, but left against medical advice before completing his […]

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: The patient is a 31 year old male with a medical history of HIV on antiretroviral therapy who was seen in the emergency department for chest pain and dyspnea, then discharged after a negative cardiac workup. He re-presented two days later with worsening chest tightness, dyspnea, and vomiting. On examination, the patient was […]