Case Presentation: A 66 year old man presents with progressive weakness and diffuse myalgias. He has been on antibiotic treatment for an infected iliac artery stent which was removed on recent hospitalization. He was discharged in good condition on IV daptomycin and ceftriaxone. He presented one week after discharge and was found with an acutely [...]

Case Presentation: The patient is a 34 y.o. female with a past medical history significant only for morbid obesity. She had a gastric sleeve placed 3 months ago, in order to promote weight loss. Two weeks ago, the patient experienced the onset of blurred vision, clumsiness, ambulatory dysfunction, and generalized weakness. At that time, she [...]

Case Presentation: A 26 year old previously healthy male presented with complaints of right leg weakness and urinary retention.  Three weeks prior, he experienced back pain in the setting of a lifting injury at work and was treated symptomatically for low back strain.  Two weeks later, he began having right leg weakness and tingling which [...]

Case Presentation: A 20-year-old female presented to the emergency department with weakness and fatigue. She reported new onset midsternal chest pain that began approximately twelve hours prior to admission. She had noticed episodes of palpitations and tachycardia over the course of the past two months for which she was prescribed metoprolol tartrate, with no relief. [...]

Case Presentation: A 73  year old female with borderline diabetes mellitus and hypertension presented to the emergency department with the sudden onset of nontraumatic swelling, pain and ecchymosis of her right leg. She did report receiving an influenza vaccination at her left arm 3 weeks prior to this visit resulting in bruising from her shoulder [...]

Case Presentation: The patient is an 82-year-old female with multiple medical problems including stroke who presents with change in mental status. The patient is normally alert and oriented x3 but 3 days ago, she noted that she was depressed. She started to talk about things that did not make any sense. She stated that she [...]

Case Presentation: A 26-year-old man with a past medical history of depression and chronic pain presented to the hospital with severe shortness of breath, chest pain, diffuse numbness, nausea, and vomiting. Questioning revealed the symptoms began after inhaling Dust Off for a cumulative 3 hour period. His vital signs showed BP 98/85 mmHg, HR 160 [...]

Case Presentation: A 45-year-old-man with no prior medical history presented to the emergency department with a symmetric lower extremity rash and recurrent fevers. The rash started two weeks prior as discrete mildly pruritic red lesions on his ankles and spread to his arms, torso and back. He subsequently developed recurrent fevers up to 38.9°C on a [...]

Case Presentation: A 44-year-old African woman presented to the ED complaining of productive cough, headache, fever, chills and nausea for 5 days. PMH was significant for HIV (CD4 557 cells/ mm3, HIV RNA 20 copies/mL) and non-Hodgkin lymphoma (in remission since 2009). Medications included darunavir, ritonavir, abacavir/lamivudine and valacyclovir. She denied travel, drug and alcohol [...]

Case Presentation: A 33 year-old female without significant medical history was admitted as a transfer from an outside hospital for daily fevers and generalized weakness for the preceding two weeks associated with neck pain. Had undergone an extensive infectious disease workup prior to arrival with Computed Tomography (CT) of head, chest, abdomen, and pelvis, blood [...]