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 17 y.o. female with systemic lupus erythematosus (SLE) presented with several weeks of worsening migratory polyarthralgia, as well as sporadic fevers, night sweats, and chills. Prednisone was begun 3 weeks prior for a presumed SLE flare, given elevated anti double-stranded DNA (anti-dsDNA) and erythrocyte sedimentation rate (ESR) and hematuria, but provided no [...]

Case Presentation: A 43-year-old male from Guatemala with a history of alcohol abuse, brief incarceration and nephrolithiasis presented to the emergency room with abdominal pain and bloody diarrhea. He was found to have a psoas abscess and subsequently underwent radiologic aspiration and drainage of the lesion. Given the unusual intraosseous features on imaging, the patient [...]

Case Presentation: A 32-year-old man with AIDS (CD4 count 45) presented to the emergency department for altered mental status. More specifically, he reported 5 days of severe bitemporal headache, fatigue, memory disturbance, blurry vision, dizziness, and subjective fevers. His review of systems was also positive for acute-on-chronic diarrhea and a diffuse rash. Given his diagnosis [...]

Case Presentation: A 60-year-old-female with past medical history of type 2 diabetes mellitus, hypertension, and hyperlipidemia presented with scaly pink macules with collarette ring of scale on bilateral lower extremity and forearms (figure 1). Some of her associated symptoms included itchiness. There was no drug use history and family history negative for similar skin lesion. [...]

Case Presentation: A 58 year-old man with a past medical history of Chronic Obstructive Pulmonary Disease, poorly controlled Diabetes Mellitus (HbA1C 9.5%), and Hepatitis C with liver cirrhosis, presented with acute respiratory distress syndrome due to bibasilar community acquired pneumonia, eventually requiring extracorporeal membrane oxygenation. His hospital course was further complicated by empyema requiring placement [...]

Case Presentation: Patient is a 60-year-old male with past medical history of Ledin’s factor V deficiency who presented to the ER with complaints of fever, chills, and weakness. His symptoms started with a headache, cyclical fevers, and violent rigors lasting several minutes. With the onset of rigors, patient progressed to develop ascending weakness. In the [...]