Case Presentation: A 38-year-old male dentist presented with several days of bilateral lower extremity rash and migratory large joint arthritis in the setting of fevers, myalgias, and a recent viral illness in his 3-year-old daughter. His medical history included remote testicular cancer post-orchiectomy. He was referred by his primary care provider who noted bilateral (right [...]

Case Presentation: A 67-year-old male presented to the Emergency Department with a chief complaint of bilateral vision loss. He had a complex medical history including atrial fibrillation, coronary artery bypass graft surgery, aortic stenosis with bioprosthetic valve replacement, and ascending aortic aneurysm graft and repair performed in 2022. He was admitted and on inpatient work-up [...]

Case Presentation: 53y/o Hispanic woman with a history of cervical cancer in 2001 s/p treatment now in remission, HTN, and a recent diagnosis of inflammatory arthritis in 5/2023 on treatment with Infliximab who presented with recurrent fevers, diarrhea, and abdominal pain in the setting of new ascites for the past several weeks. Patient had previously [...]

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, [...]

Case Presentation: This case report outlines the clinical course of a previously healthy 25 year old female who presented to the emergency department with a 2 week history of myalgia, high grade fever, and pain in palms and soles of her feet. Upon presentation to the patient’s local ER, her clinical condition rapidly deteriorated, and [...]

Case Presentation: An 80-year-old Caucasian male with a recent history of transaortic valve replacement three months ago was admitted to the hospital with a history of malaise, and 20 pounds of weight loss in 2 months—no history of diarrhea, fever, vomiting or skin rash. Notably, the patient had multiple admissions for septicemia with salmonella species [...]

Case Presentation: A 52-year-old man with a past medical history of hypertension, hyperlipidemia, and type 2 diabetes mellitus presented to the emergency department (ED) with complaints of two weeks of nausea, vomiting, abdominal fullness and distension, full-body fatigue, and myalgias. He was also noted to be febrile and jaundiced. Abdominal ultrasound findings were consistent with [...]

Case Presentation: An 85-year-old female with a history of insulin-dependent diabetes, chronic kidney disease, and pemphigus vulgaris presented with four days of dyspnea and non-productive cough. History was significant for recent rituximab infusions and chronic prednisone therapy for pemphigus. On presentation to the ED, the patient was noted to be hypoxic to SpO2 84% on [...]

Case Presentation: A 43-year-old male on peritoneal dialysis (PD) was admitted for nausea, vomiting, and abdominal pain. Ten days prior to admission, cloudy effluent was noted during PD, prompting initiation of empiric intraperitoneal vancomycin and ceftazidime therapy. He subsequently developed worsening symptoms leading to his presentation to the hospital.His past medical history was notable for [...]

Case Presentation: A 57-year-old woman with a history of morbid obesity, cholecystectomy, and prior choledocholithiasis with placement of biliary stents presented with nausea, vomiting, rigors, and fever with epigastric pain radiating to her back. Cardiopulmonary, neurological, and skin exams were unremarkable. Initial laboratory studies showed a white blood cell count of 10.7 x 10^3/µL, AST [...]