Case Presentation: A 33-year-old male with sporadic alcohol use presented with acute epigastric pain. Acute pancreatitis was diagnosed based on abdominal pain, elevated lipase, and imaging findings of pancreatic inflammation. Initial management included intravenous fluids and pain control. During his hospitalization, he developed acute transaminitis. An abdominal ultrasound revealed cholelithiasis without biliary or pancreatic duct [...]

Case Presentation: A 46-year-old female with a medical history of type 2 diabetes, asthma, obesity, and anxiety presented to the emergency department with a five-day history of fever, myalgias, and headache. Additionally, she experienced intermittent episodes of epistaxis and gingival bleeding while brushing her teeth for the past week. She had recently returned from a [...]

Case Presentation: A 67 year-old female presented to the ED with acute left upper extremity paresis and facial droop. She had 2 previous cardioembolic strokes, in 2007 from mitral nonbacterial thrombotic endocarditis for which she started warfarin and in 2010 after stopping warfarin for 8 months due to menorrhagia. Warfarin was switched to apixaban in [...]

Case Presentation: A 63-year-old man presented with fever for 1 week and bilateral leg pain. He was found to have bilateral deep vein thrombosis (DVT) and treated with heparin drip, then Eliquis, but fever and leukocytosis (14-20k/mm3) persisted. Extensive workup—computed tomography (CT) scans of his chest and abdomen/pelvis, magnetic resonance imaging of his spine, nuclear [...]

Case Presentation: A 67 year old patient (she/her) with mitral valve prolapse was admitted in mid-August for acute hypoxic respiratory failure. She was at baseline health until 14 days prior to admission, when she developed fever, malaise, and generalized weakness. Outpatient bloodwork revealed new pancytopenia (WBC 3.9 x 10^9/L, Plt 66 x 10^9/L, Hgb 11.2 [...]

Case Presentation: A 79-year-old male with a past medical history of coronary artery disease presented to the emergency department with a 1-week history of generalized weakness, fever, and chills. He reported associated generalized myalgia involving his chest, abdomen, and neck, as well as headache, productive cough, and diarrhea. There was no associated skin rash.On presentation, [...]

Case Presentation: A 38-year-old woman with a history of discoid lupus presented with a week of progressive fever, chills, pustular rash, and polyarthritis. The pustular lesions started periorally but then spread to the palms, soles, and torso. Her joint pain was predominantly in her ankles, knees, wrists, and shoulders. Aside from minor scratches from pet [...]

Case Presentation: A 65-year-old woman with a history of migraines without aura and mild asthma presented to a Wisconsin emergency department with a two-day history of fevers and altered mental status following a five-week stay in Colorado. Symptoms included subjective fevers and urinary incontinence in addition to neurological concerns such as confusion, forgetfulness, and difficulty [...]

Case Presentation: A 65-year-old male with hypertension, hyperlipidemia, type 2 diabetes, and hypothyroidism was admitted to the hospital with fevers and chills in the setting of leukopenia and thrombocytopenia. Symptoms began on his way home from India four days prior and progressed to a Tmax of 102F with chest congestion. His physician ordered labwork that [...]

Case Presentation: A 23-year-old male presented to the emergency department after experiencing three nocturnal fevers over the preceding week. On further examination, he was febrile (38.5°C) and exhibited mild thrombocytopenia, lymphopenia, and hyperbilirubinemia. The patient had emigrated from the Democratic Republic of Congo three years earlier and had not traveled outside the United States since [...]