Case Presentation: A 65-year-old male with a past medical history of hypersensitivity pneumonitis/bronchiolitis, coronary artery disease, hypertension and hyperlipidemia was admitted for uncontrolled pain. Myalgias and fatigue were present for a month following a tick bite and shingles. He was treated with doxycycline 100mg twice a day for 14 days and valacyclovir 1g three times [...]

Case Presentation: A 56-year-old male presented to the emergency department for longstanding and persistently worsening headaches, subjective fevers, chills, malaise, and significant weight loss. One month prior to this visit, he had a dental abscess that was successfully treated with a course of Augmentin; since that time his headaches, chills, malaise, and significant weight loss [...]

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 [...]