Case Presentation: A 65-year-old Vietnamese man presented to the Emergency Department after a scleral defect was noted in his right eye by optometry. He reported four months of floaters and one month of worsening vision and light sensitivity in the right eye. No recent trauma.Ophthalmology exam showed visual acuity of 20/25 in the right eye [...]

Case Presentation: FM was a 69-year-old female who immigrated from Mexico to the US 30 years ago with a history of primary biliary cholangitis complicated by cirrhosis, hepatic encephalopathy, and esophageal varices presented to the emergency department with worsening abdominal distension. She was a former smoker with no history of alcohol or recreational drug use. [...]

Case Presentation: Introduction:Tuberculosis (TB) remains a global health issue, with extrapulmonary TB often mimicking other conditions.¹ Diagnosing tuberculous peritonitis is particularly challenging in resource-limited settings, where nonspecific symptoms and limited diagnostics create barriers. This case highlights the complexities of diagnosing tuberculous peritonitis in a chronic alcoholic patient, initially suspected of decompensated liver disease (DCLD) despite [...]

Case Presentation: A 38 year-old female with Crohn’s disease on infliximab presented to the ED with 3 weeks of fever, cough, and shortness of breath (SOB) unresponsive to a 10-day course of levofloxacin for presumed community acquired pneumonia (CAP). She emigrated from Ecuador in 2001 and was employed as a medical assistant in a private [...]

Case Presentation: A 71-year-old male from Vietnam with HTN and TIIDM presented to an outside hospital with several weeks of fatigue, lower extremity bruising, and an unintentional weight loss of 20lbs. On admission to Stanford, he also endorsed right lower extremity numbness and weakness with right foot dorsiflexion. His exam was notable for scattered ecchymosis [...]

Case Presentation: A 69-year-old male with a significant past medical history of rheumatoid arthritis on methotrexate presented with acute-on-chronic lumbar pain. Initial imaging revealed an L3 compression fracture, with findings suggestive of discitis or osteomyelitis at L2-L3. MRI confirmed discitis/osteomyelitis, along with an epidural abscess and bilateral psoas abscesses. Further imaging also revealed cavitary pulmonary [...]

Case Presentation: Establishing the diagnosis of tuberculosis (TB) can be challenging due to its heterogeneous presentation and limited sensitivity of testing. Pulmonary TB can share overlapping radiological, clinical, and histopathological features with other lung diseases. Physicians often wait for confirmatory testing prior to starting treatment. A 36-year-old male from Haiti presented with a 4-months of [...]

Case Presentation: A 76-year-old male with history of hypertension and recent travel to India presented to our health system with a history of sub acutely progressive dyspnea, low grade fevers, night sweats and chronic cough. Two months prior to this presentation, he was treated for community acquired pneumonia at an outside facility. About one month [...]

Case Presentation: A previously healthy 45-year-old male, who recently immigrated from India, presented with worsening dyspnea at rest, epistaxis, hearing loss, and bilateral eye irritation after three weeks on rifampin, isoniazid, pyrazinamide, and ethambutol (RIPE) therapy. Negative Mycobacterium tuberculosis polymerase chain reaction (MTB PCR) and acid-fast bacillus (AFB) sputum culture results from the previous admission [...]

Case Presentation: A 61-year-old woman with a history of RA (on methotrexate and adalimumab) and latent TB (previously treated with Rifampin in 2023), presented with a three-month history of cough and shortness of breath. Imaging revealed bilateral pleural effusions and hypodense lesions in the spleen. Thoracentesis was performed, with pleural fluid analysis revealing a lymphocytic [...]