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 57-year-old Honduran male with no past medical history presented with two weeks of recurrent fevers, dyspnea, bilateral blurred vision, and pain in his low back, flank, and abdomen. Chest X-ray revealed a round opacity over the right lower lung. CT chest, abdomen, and pelvis showed patchy consolidation in the right lower lobe [...]

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: 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: 47 year old male with left temporal meningioma s/p resection, and recent immigration from India presented with fevers and worsening encephalopathy. CTH was unremarkable however MRI showed leptomeningeal hemispheric, brain stem, and cord signal with perivascular enhancement concerning for CNS TB however included a broad differential. He was started on empiric antibiotics for [...]

Case Presentation: A 22-year-old Filipino man presented with worsening left groin and hip pain 2 weeks after falling down 3 steps on subway stairs. Since the fall, he had minimal range of motion due to pain and required assistance with ambulation. He also reported intermittent dull achiness in that hip one week prior to the [...]

Case Presentation: A 45 y.o. man presented with fever, night sweats, and hemoptysis for one week. He had immigrated to the United States from Mexico 4 years prior. Initial laboratory evaluation was notable for c-reactive protein 134.3mg/dL (normal: < 8mg/dL) and D-dimer 1646ng/mL (normal: < 500ng/mL). Chest CT showed multiple focal regions of consolidation with [...]

Case Presentation: A 33-year-old Kenyan male school teacher presented to the hospital with a 3-day history of a gradually worsening diffuse headache, nausea and vomiting, and fevers. His past medical history was notable for liver cirrhosis of unknown etiology (Child-Pugh class B), complicated by portal hypertension. He had no known history of tuberculosis. His vital [...]

Case Presentation: A 41 year old female from Haiti with a history of uterine fibroids and menorrhagia presents to the emergency room with subacute abdominal distension. A CT shows moderate ascites with peritoneal enhancement and infiltration of mesenteric fat by soft tissue densities suggestive of omental caking, thus favoring peritoneal carcinomatosis versus peritonitis. Serum CA-125 [...]

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 [...]