Case Presentation: A 41-year-old healthy male presented to emergency department with cough and shortness of breath. Shortness of breath and cough was gradually progressive over one week, worsening with exertion. Cough is dry with no known aggravating factor. He denied fever or wheezing. No history of active or passive cigarette smoking, sick contact, recent travel, [...]

Case Presentation: A 77-year-old man with spondylolisthesis, status post L4-S1 fusion surgery, presented for wound dehiscence and surgical site infection. He underwent incision and drainage with cultures growing S Epidermidis.  Given the patient’s medication allergies and intolerances, infectious diseases (ID) was consulted with plan for a 6-week course of daptomycin. Thirteen days into the treatment, [...]

Case Presentation: A 59-year-old female with prior pulmonary embolus and breast cancer presented for outpatient retinal detachment repair. In PACU, O2 saturations were 80%, and she was admitted for further workup. She reported 2 weeks of dyspnea on exertion with productive cough, but denied fever, congestion, chest pain, hemoptysis, dyspnea at rest, weight changes, lower [...]

Case Presentation: We present a case of early and atypical checkpoint inhibitor pneumonitis (CIP) in an elderly female with chronic obstructive pulmonary disease (COPD) who received just two infusions of Pembrolizumab for stage III non-small cell lung carcinoma (NSCLC). Before starting immunotherapy, she had been receiving chemotherapy with carboplatin and paclitaxel for 6 months. The [...]

Case Presentation: An 80-year-old male with a history of atrial fibrillation post-ablation on apixaban, COPD, hypertension, and Stage IIIC malignant melanoma post-immunotherapy with nivolumab complicated by non-resolving pneumonitis presented with worsening dyspnea and tachycardia. In the ED, he was found to have atrial flutter with rapid ventricular response (RVR), elevated high-sensitivity troponin, and brain natriuretic [...]

Case Presentation: 65-year-old female who presented to the emergency department with diffuse abdominal pain persisting for one week. Her medical history is significant for diffuse large B-cell lymphoma, for which she had undergone chimeric antigen receptor (CAR) T-cell therapy six months prior to her presentation. Upon evaluation, she exhibited elevated liver function tests (LFTs), elevated [...]

Case Presentation: An 86-year-old female with a history of atrial fibrillation, hyperlipidemia, and recurrent pneumonia presented with worsening dyspnea, productive cough, and significant oxygen dependency. CT imaging revealed bilateral dense consolidations and nodular infiltrates, raising suspicion for malignancy, cryptogenic organizing pneumonia, or aspiration-related pathology. Despite broad-spectrum antibiotics and steroids, her clinical condition remained refractory. Bronchoscopy [...]