Case Presentation: 39 YO WM presented to PCP with lower back pain that he initially attributed to pulling muscles after playing golf. Pain persisted and got worse. His PCP ordered lumbar spine CT when he started to have cauda equina compression symptoms which showed intradural sacral mass. Initial labs revealed 45% eosinophilia and mild leukocytosis. [...]

Case Presentation: A 56 year-old man with a history of immunosuppressive therapy with prednisone and tacrolimus for a cadaveric kidney transplant presented with 1 month of personality change and lethargy. He was also noted to have generalized weakness and fatigue. He was initially seen 3 weeks prior to admission for these symptoms, which were attributed [...]

Case Presentation: We present a rare case of MoyamoyaDisease (MMD) in a 44-year-old Caucasian female with a medical history of severe recurrent headaches. She presented with an excruciating headache and was found to have right-sided facial droop, and dysarthria. Initial imaging demonstrated an intraparenchymal and intraventricular hemorrhage, along with chronic occlusions of the middle cerebral [...]

Case Presentation: Inflammatory polyarthritis and panniculitis are rare sequela of pancreatic disorders. This condition has been termed Polyarthritis, Panniculitis and Pancreatitis (PPP) and occurs in less than 5% of patients with underlying pancreatic disease.  A 64 year old man presented with chronic erythematous, edematous, and tender subcutaneous nodules on all four extremities. He also had bilaterally [...]

Case Presentation: We describe a typical presentation of meningococcus meningitis, diagnosed by blood culture. A Congolese man who had recently arrived in New Mexico after living in a Tanzanian refugee camp presented with a 2-day history of worsening diffuse headache, productive cough, non-bloody diarrhea, and persistent fevers. He had not had any sick contacts. He [...]

Case Presentation: Our patient is a 37-year-old gentleman with history of colonic Burkitt’s Lymphoma, in remission since 2010, eosinophilic colitis (on a prolonged steroid taper), CMV colitis, and common variable immunodeficiency, who presented with acute on chronic diarrhea. He incidentally noted worsening bilateral lower extremity weakness over the past 2 years, requiring the use of [...]

Case Presentation: Our patient is a 24-year-old male with a family history of Antithrombin III (ATIII) deficiency and cerebral aneurysm. He was transferred to our hospital for management of syncope in the setting of a pulmonary embolism (PE). While at work as a landscaper, he felt lightheaded and diaphoretic. The following day, he syncopized, had bladder [...]

Case Presentation: An 89-year-old woman with hypertension, dementia, and vertebral fracture was admitted to another hospital because of hip pain after fall. Since she was also found to have oxygen desaturation, the patient was referred to our hospital for further workup. She denied dyspnea, cough, sputum, chest pain, palpitation, episode of aspiration, or fever. On [...]

Case Presentation: We report a 58 year old Caucasian male who presented with abdominal pain, fever and intractable vomiting. Past history was significant for laparoscopic cholecystectomy three weeks earlier complicated by post-operative bile leak that was managed conservatively. Physical examination was remarkable for diffuse abdominal tenderness most prominent in the right upper quadrant. Preliminary laboratory [...]

Case Presentation: We report a 32 year old previously healthy Caucasian male who presented with fever and a sore throat. At presentation he was noted to be febrile, but examination of his throat and neck were unremarkable. Blood cultures were positive for Fusobacterium necrophorum in two sets. CT of his neck was negative for parapharyngeal [...]