Background: Syphilis cases in the United States increased by 28.6% between 2020 and 2021. San Francisco was the highest-risk county for early syphilis in 2017, and between 2017 and 2021, syphilis diagnoses further increased by 12%, with a 200% increase in syphilis cases among women and a 333% increase in congenital syphilis cases compared to [...]

Case Presentation: A 59-year-old male with a history of HIV, HBV, and amphetamine use disorder presented with a three-day history of fever, diffuse abdominal pain, and rectal pain with passage of thick, clear-yellow fluid. The patient engaged in receptive anal intercourse and had a history of injecting methamphetamine per rectum. Patient was septic on admission [...]

Case Presentation: A 50-year-old woman with prior cerebrovascular accident, paroxysmal atrial fibrillation, hypertension, and diabetes who presented for her second syncopal episode in as many months. Her exam was unremarkable aside from chronic neurologic deficits and new lower extremity swelling. Initial labs revealed elevated creatinine and large protein on her urinalysis with a very low [...]

Case Presentation: A 51-year-old male with a past medical history of diabetes, hypertension, and chronic kidney disease (CKD) presented to the hospital following a fall at home. The patient described a disease course that started six months prior with bilateral knee weakness and shooting pains that progressed to severe gait imbalance and inability to ambulate. [...]