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 [...]

Case Presentation: A 52 year-old man with PMH of HIV presented with inguinal lymphadenopathy, intermittent abdominal pain, suprapubic fullness, fever and poor urine production for several days. Bladder catheterization yielded a large volume of bloody urine. The patient had not experienced hematuria previously and had no history of urinary retention, urgency, perineal or GU trauma. [...]

Case Presentation: A 96-year-old previously healthy Japanese man with a history of pancytopenia presented to our ED in May 2023 with ascending numbness and paresthesia. Over 1.5 months, he steadily developed numbness and tingling that ascended to his chest level (T4). He initially presented to an outside ED and received a CT T-spine that showed [...]

Case Presentation: A 27-year-old male without medical history presented with paresthesias in his hands and feet, and numbness and instability from his waist down for 4 days. The patient initially denied any illicit substances, had no dietary restrictions, and no known medical problems in the family. Cervical MRI revealed T2 dorsal column hypersensitivity consistent with [...]

Case Presentation: A 17 year-old male with a history of marijuana and nitrous oxide use presented with 4 days of paresthesia in his bilateral lower extremities, sudden onset-ataxia, gait instability, and genital numbness extending to his extremities. Comprehensive infectious and neurologic workup for Guillain-Barré syndrome, transverse myelitis, and other neuropathies all returned negative. Magnetic resonance [...]

Case Presentation: A 3-year-old immunized male, with a history of atopic dermatitis and anaphylactic dairy allergy, was brought to the ER due to refusal to bear weight for one month. There was no trauma, fevers, or recent sick symptoms. He had a severely restricted diet of potato products and breast milk. On exam, he was [...]

Case Presentation: A 23-year-old male with no past medical history presented with neck pain and bilateral arm paresthesia of four-week duration. The patient was prescribed ibuprofen, and an MRI cervical spine was ordered. The MRI showed multilevel degenerative disc disease, and the patient was referred to physical medicine and rehabilitation. In the weeks prior to [...]

Case Presentation: Tuberculosis (TB) remains a global health problem and extrapulmonary tuberculosis (EPTB) further adds to the developing countries’ fight against tuberculosis, with pericardial effusion being a potentially fatal complication. Here we report, a 19 year old male from South Asia with a past medical history of bilateral bronchiectasis (as shown in figure 1) and [...]

Case Presentation: A 51-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (CKD) presented to the hospital following a fall at home. The patient described a disease course that started six months prior with bilateral knee weakness and shooting pains that progressed to severe gait imbalance and inability to ambulate. [...]

Case Presentation: A 68-year-old woman presented to the hospital with dyspnea, lightheadedness, hypoxia and no other systemic symptoms. She had a history of stage IIB small cell neuroendocrine carcinoma of the right lung status post chemoradiotherapy. This was complicated by radiation pneumonitis requiring long-term prednisone. Three days before presentation, she started dapsone 100mg daily for [...]