Background: Neutropenic Fever (NF) is a common complication for patients on myelosuppressive chemotherapy. Despite guidelines by the Infectious Diseases Society of America (IDSA), however, there is variability in physician compliance. There are limited prior studies assessing compliance in this realm and those studies do not fully assess drivers of poor compliance. Poor compliance can result in increased [...]

Case Presentation: A 30-year-old male with type two diabetes mellitus and morbid obesity presented with one month of generalized weakness, fatigue and fever. This was his third hospitalization with these same symptoms; no definitive diagnosis was identified the previous two. He also complained of headache, a dry cough, and upper abdominal pain. Pertinent exam findings [...]

Case Presentation: A 39 y/o Hispanic man presented with 1 week of fever, headache, photophobia, and mild confusion. His complaints and physical examination were consistent with possible meningitis, so empiric treatment with vancomycin, ceftriaxone and acyclovir was initiated following blood cultures. Laboratory data was significant for mild hyponatremia, transaminases 3-4X normal, monocytosis, and surprisingly normal [...]

Case Presentation: 53 year old male with a history of alcohol abuse presented to the ED with hyponatremia and elevated LFTs after a week of nausea, vomiting, and diarrhea. The patient had a previous drinking history of a 12-pack of beer per day, denied IV drug use and any recent travel outside of Texas. Determined [...]

Case Presentation: A 67 year-old man with history of transient ischemic attack, coronary artery disease, and peripheral artery disease status post aorto-iliac graft in 1994 presented with intermittent fevers, chills, and intense rigors. Symptoms started following a dental procedure 6 months earlier after which he was diagnosed with streptococcus anginosus bacteremia. Continued fevers prompted trans-esophageal [...]

Case Presentation: A healthy 24 year old Chinese male was admitted for fever for 3 weeks. His symptoms were associated with chills and rigors, night sweats and loss of appetite. On physical examination, he had enlarged painful cervical and left axillary lymph nodes. Spleen and liver was not enlarged. His laboratory investigations were normal except [...]

Case Presentation: A 39 year-old female from Sudan with no medical history presented with recurrent fevers. She had been discharged 3 days prior after a workup for the cause of her fevers was unfruitful. This workup had included blood and urine cultures, viral hepatitis serologies, anti-nuclear antibodies, rheumatoid factor, HIV antibodies, Quantiferon tuberculosis testing, stool culture, [...]