Case Presentation: A healthy 50 year-old high school teacher with a past surgical history significant for elective bilateral breast augmentation presented to clinic for a 2-month history of dry cough unresponsive to steroids. She reported a constellation of symptoms including worsening non-exertional dyspnea, low grade fevers, night sweats, unintentional 30lb weight loss, fatigue, dry skin, and [...]

Case Presentation: A 36-year-old healthy women presented with high fever, headache, and “not feeling well” two weeks after she had termination of pregnancy by dilatation and curettage procedure. She had minimal vaginal bleeding and denied vaginal discharge. She also vomited several times and had two bouts of diarrhea. She denied any significant coughing, sputum, or [...]

Case Presentation: A 30-year-old previously healthy man presented with one week of fatigue, malaise, and confusion, complaining of dull neck pain. In the ED he became acutely agitated and combative, eventually requiring sedation and intubation for altered mental status. Initial vitals were normal, with BP 130/85 and HR 66, but then patient developed a fever [...]

Case Presentation: A 19-year old Caucasian female with a history of atopic dermatitis and mild asthma developed an erythematous maculopapular rash on her bilateral palms and wrists, right-sided tender cervical lymphadenopathy, and nightly fevers and headaches five days after returning from a one-month trip to Cambodia. She presented two weeks after returning from her trip [...]

Case Presentation: 42-year-old woman with a history of pulmonary embolism and Antiphospholipid syndrome on lifelong anticoagulation with warfarin presented with severe neck pain and headache for five days. Examination revealed an ill appearing woman, febrile to 101F with excruciating neck pain aggravated by movement in all directions and swallowing. Labs were remarkable for an elevated [...]

Case Presentation: A 69 year old man presented with a two week history of high fevers and malaise after a spider bite behind his knee two weeks prior to admission. He also reported nausea, diarrhea, and crippling fatigue. His primary care doctor prescribed a course of amoxicillin-clavulanate but this had not helped. He lived in [...]