Case Presentation: A 55-year-old woman with a history of rheumatoid arthritis presented for generalized weakness, dysuria, nausea, and dizziness of 1 week duration. She developed progressive weakness with associated decreased exercise tolerance, nausea, and diarrhea. Her oral intake decreased. There was no inciting event and did not note any recent close contacts with similar symptoms.Her […]

Case Presentation: A 54-year-old- man with past medical history of Acquired immunodeficiency syndrome, recurrent Herpes simplex virus lesion, prurigo nodularis, presented with generalized weakness for one week. On physical examination, diffuse cervical, inguinal and popliteal lymphadenopathy was noted. Echocardiogram showed moderate pericardial effusion, which prompted the patient to undergo emergent pericardiocentesis in the setting of […]

Case Presentation: 19 month old female with a history of unspecified T-cell immunodeficiency presented with a 10 day history of cough, fatigue, and persistent fevers. The patient had just returned from Mexico and reportedly was diagnosed with influenza there. Previously the patient had been on Bactrim prophylaxis, but ran out of it while in Mexico […]