Case Presentation: A 77-year-old female was brought to the emergency with lethargy, confusion, fever for 3 days and neck pain. She had a recent trip to the Caribbean where she was taking Metamizole to manage neck pain. Her physical exam was notable for fever, sinus tachycardia, cervical lymphadenopathy, a muffled voice, and stridor. Initial blood [...]

Case Presentation: A 31-year-old man presented to the ED with 2 days of fever and odynophagia, without neck pain. The physical exam was notable only for post-pharyngeal erythema without cervical lymphadenopathy. Blood cultures were drawn. The patient was discharged after reporting feeling better with a presumptive diagnosis of a viral infection. 5 days after the [...]

Case Presentation: A 53-year-old male with no prior medical history presented to our institution with a 6-day history of fever and lumbar pain. He denied experiencing a sore throat. Upon examination, conjunctival icterus was observed. No dental caries were detected in the oral cavity. Laboratory analysis revealed an elevated inflammatory response, characterized by a white [...]