Case Presentation: A 77-year-old man presented with altered consciousness. His medical history included type 2 diabetes mellitus, hypertension, and complete atrioventricular block managed with a pacemaker. Three months earlier, corticosteroid therapy was initiated for acute lung injury of unknown etiology, with symptom improvement followed by dose tapering. He had no history of tuberculosis, mycobacterial infections, [...]

Case Presentation: An 83-year-old man with coronary artery bypass graft, atrial fibrillation, pacemaker, and chronic lymphocytic lymphoma (CLL), presented with a week of dizziness, generalized weakness, blurred vision, word-finding difficulties, and confusion. Dysmetria and peripheral vision loss on the right were notable. No fever. Labs were unremarkable except for mild anemia, lymphocytic leukocytosis, and neutropenia. [...]

Case Presentation: An 81-year-old male with type 2 diabetes mellitus and emphysema visiting from Thailand presented to the Emergency Department for cough and shortness of breath over one week. Vitals included: 36.3C, 103/87 mmHg, 88 bpm. He was found to be hypoxic with an oxygen saturation of 69% on room air requiring non-invasive ventilation. Computed [...]

Case Presentation: A 29-year-old male with a history of Crohn’s Disease controlled on Humira presented with two weeks of fever and fatigue. His review of systems was notable for mild left flank pain and nasal congestion. Blood work revealed a white blood cell count of 14.3 (76% neutrophils) and a CRP of 171.2. Initial infectious [...]