Case Presentation: A 65 year old female with a history of type one diabetes presented to an outside hospital with malaise, fatigue, and fever for two weeks. Her social history was notable for frequently participating in the interactive game of Geocaching in the outdoors of southeastern PA. On arrival she had severe sepsis with a [...]

Case Presentation: A man in his late 70s presented to the emergency department after multiple falls and new onset altered mental status. Past medical history included hypertension, hyperlipidemia, chronic kidney disease (CKD) stage III, and previous infection with anaplasmosis over a decade prior.On clinical exam, the patient was afebrile, hypoxic, and meeting SIRS criteria with [...]