Case Presentation: Case: A 27-year-old male presented to the emergency room with fever, night sweats, and productive cough with brown sputum for the past week prior to presentation. He also noted associated anorexia, nausea, and non-bilious, non-bloody vomiting. The patient reported persistent dysphagia that had developed after his laryngeal schwannoma resection 15 years ago. On [...]

Case Presentation: In infectious disease diagnostics, Next-Generation Sequencing (NGS) is a game-changer. The test is particularly useful when regular tests are unable to pinpoint the problem, especially in healthy people with no risk factors for unusual infections. It enhances pathogen identification through genetic analysis A 55-year-old woman with sigmoid diverticulosis and recurrent urinary tract infection [...]

Case Presentation: An 86-year-old male with a past medical history of bladder cancer, status post Bacillus Calmette-Guerin (BCG) therapy 12 months prior, presented to the ED with three months of progressively worsening back pain and weight loss. He denied cough, fever, night sweats, dysuria, recent travel, history of farming, exposure to cattle, or consumption of [...]

Case Presentation: A 49-year-old male with a medical history significant for unmanaged type 2 diabetes mellitus presented to the emergency department with generalized body weakness associated with 5 days of melena and coffee ground emesis in the setting of heavy use of naproxen for chronic severe lower back pain. He reported recent visits to a [...]

Case Presentation: A 56-year-old immunocompetent man with history of inhaled methamphetamine use, poor dentition and recent all-terrain vehicle (ATV) accident requiring chest tube, presented with 1 week of progressive hallucinations, who was found to have multiple ring enhancing brain lesions. Initially, he was afebrile with normal vitals, minimally responsive to noxious stimuli and moving all [...]

Case Presentation: A 41-year-old woman with a history of nephrolithiasis managed conservatively presented to the hospital with right flank and right upper quadrant pain. The pain initially started four months prior to her presentation, cramping in nature, rated 10/10 in intensity, intermittent, progressively worsening, initially well managed with ibuprofen, aggravated by movement, and relieved partially [...]

Case Presentation: A 65-year-old man presented to outside hospital post-fall with weakness, back pain and fever. He had sinus tachycardia, leukocytosis, and a meth-positive urine drug screen (UDS). Chest x-ray and CT abdomen/pelvis were unremarkable. Blood and urine cultures grew MRSA. Empiric antibiotics and infectious disease (ID) consult ordered. Transthoracic (TTE) and transesophageal (TEE) echocardiogram [...]

Case Presentation: A 51-year-old African American female with a past medical history of hypertension, hyperlipidemia, and alcohol use disorder presented with acute onset confusion and difficulty with communication upon awakening preceded by intermittent mild headache for a few weeks. While in the emergency room, the patient experienced a grand mal seizure. The patient was afebrile [...]

Case Presentation: A 59-year-old incarcerated male presented to the hospital with abdominal pain, fever, and vomiting. Initial diagnostic workup showed a total leukocyte count of 14.2 x 103 /uL. The alkaline phosphate and total bilirubin were normal at 73 IU/L and 1.2 mg/dL, respectively. The Computerized tomography (CT) with contrast of the abdomen and pelvis [...]

Case Presentation: A 34-year-old male with history of methamphetamine use presented with a one-week history of neck, shoulder, and wrist pain, intermittent radiculopathy, fevers, chills, myalgias, and arthralgias, and a one-day history of confusion. He denied rash, urinary symptoms, diarrheal illness, IV drug use, recent travel, and new sexual contacts. On admission, he was afebrile, [...]