Case Presentation: Case Presentation: This is a 3 year old male who recently returned from two months traveling in Liberia. In Liberia, he contracted malaria and was treated with two days of IV antimalarial treatment (thought to be artesunate) followed by three days of oral artemether-lumefantrine with improvement in symptoms. Ten days after completing treatment, [...]

Case Presentation: A previously healthy, 7-year-old girl presented to the emergency department with intermittent episodes of achy abdominal and right-sided flank pain for one month. The patient’s mother endorsed pain severe enough to wake the patient from sleep, as well as occasional constipation, and an associated 12-lb weight loss over the previous six months. On [...]

Case Presentation: A 13-year-old South Sudanese female with poorly controlled Type 1 Diabetes presented to the emergency department with one month of progressive abdominal distention. She presented twice previously to an urgent care with an unremarkable evaluation and had temporary improvement with polyethylene glycol, but her abdominal distention and intermittent pain worsened. She denied fevers, [...]

Case Presentation: A 4-day old male was born full term at an outside hospital to a mother with a new vesicular labial lesion found during vaginal delivery. A viral culture of the lesion and maternal Herpes Simplex Virus (HSV) serology were obtained, but the patient did not undergo further work up or treatment in the [...]

Case Presentation: A 2-year-old female presented to our Gastroenterology service with persistent failure to thrive (FTT). She was born at term and remained in the 10th percentile in weight for the first nine months. She continued to grow in length but did not gain weight. Initial inpatient workup at 13 months revealed a CBC, TSH, [...]

Case Presentation: A 4-month-old, Filipina female presented with 5 days of fever, irritability, and left jaw and neck swelling. Physical exam revealed bilateral conjunctivitis, blanching migratory macular erythema of the forehead and abdomen, and edema with erythema of the left neck that also obscured the angle of the left jaw. Ultrasound showed enlarged left parotid [...]

Case Presentation: A 66-year-old female with medical history of breast cancer s/p mastectomy and chemoradiation with no proven recurrence and a recent CT guided biopsy of paraaortic nodes showing adenocarcinoma of unknown primary who presented to the ED with chief complaint of shortness of breath and leg swelling. Physical examination was significant for BP of [...]

Case Presentation: An 86-year-old female with well-compensated cirrhosis due to primary biliary cholangitis (PBC) visited her PMD complaining of a fever of 102.2, nasal congestion, and sore throat that had started 2 days prior and was followed by a rapidly spreading malar rash that developed on the day she presented. The rash started with tiny [...]

Case Presentation: A 35-year-old woman with no significant medical history presented with severe headache, neck pain, photophobia, fevers, nausea, vomiting, and petechial rash for 5 days. She had recently attended a large outdoor wedding in rural Iowa. On exam her vital signs were within normal limits and neurologic exam was without focal deficits or meningeal [...]

Case Presentation: 59 year old male with past medical history of paroxysmal atrial fibrillation status post radiofrequency ablation x2 who presents with fever, chills, left sided weakness, and hematemesis 2 weeks after a redo radiofrequency (RF) ablation. The patient initially presented to the outside hospital Emergency Department after developing fever, rigors, and nausea about 9 [...]