Case Presentation: Sweet Syndrome, also known as acute febrile neutrophilic dermatosis is an uncommon inflammatory disorder of skin characterized by abrupt eruption of painful, edematous, erythematous papules, plaques, nodules and rarely bullous lesions in addition to involvement of mucous membranes, musculoskeletal system and internal organs. There are very few cases reported with sweet syndrome (mostly [...]

Case Presentation: A 44 year-old man who resides in Alexandria, LA presented via air ambulance from Honduras with three weeks of fever, night sweats, and right upper quadrant abdominal pain. He had associated nausea, vomiting, diarrhea, and headache. Exam was notable for fever and hepatomegaly. Serum studies revealed a creatinine of 6 mg/dL, elevated AST, [...]

Case Presentation: A 64 year-old woman presented with two weeks of progressive refusal to eat, weakness, and somnolence. She had two weeks of abdominal pain that was worse with eating and diarrhea with significant weight loss and generalized weakness. She also endorsed worsening depression and suicidal ideation. Per the family, she was delusional and “losing [...]

Case Presentation: A 63 year-old man with a history of tobacco abuse presented with progressive left-sided neck pain radiating down the left arm with associated weakness, neck swelling, low-grade fevers, and unintentional weight loss. Nine months prior to this presentation, the patient had a C3-5 anterior cervical decompression and fusion (ACDF) to address similar symptoms. [...]

Case Presentation: A 25 year-old man presented with agitation and altered mental status. He was placed in physical restraints and given Ativan due to severe agitation. He was found to be tachycardic, with dilated pupils, erythematous arms, and dry skin. Upon further questioning, the patient endorsed blurred vision, dry mouth, and difficulty urinating. A foley [...]

Case Presentation: A 29-year-old woman presented with a 4-day history of nausea, vomiting, and watery, non-bloody diarrhea. She also had fever, headache, and dark urine. She had traveled to Puerto Rico one-week prior, where she ate raw fish and vegetables and drank tap water. She also went to visit a waterfall, where she swam in [...]

Case Presentation: A 41-year-old man with recently diagnosed HIV/AIDS and Pneumocystis jirovecii pneumonia (PCP) was admitted with 5-day history of fever, throat pain, headache, and dry cough. Six weeks prior to admission, the workup was notable for CD4 88 cells/µL and CT chest imaging with ground glass opacities consistent with PCP. He was initiated on [...]

Case Presentation: A 46 year-old man presents with one week of intermittent headaches. The pain started in his neck and radiated to the eyes. There was associated nausea and vomiting. On the day of admission, he experienced visual hallucinations prompting him to seek medical care. Further history revealed he was diagnosed with CML last year [...]

Case Presentation: A 32-year-old man with untreated hypertension for 5 years, presented with 4 hours of sharp substernal chest pain. The pain woke him up from sleep and was present at rest and on exertion. The pain lasted 30 seconds and then decreased in severity, without any identifiable alleviating factors. He received aspirin and ondansetron [...]

Case Presentation: Introduction: Hydralazine is an adjunctive antihypertensive medication that is associated with antineutrophil cytoplasmic antibody (ANCA) – associated vasculitis. Kidney involvement usually comprises a pauci-immune, necrotizing glomerulonephritis with crescents. We describe a rare case of hydralazine induced ANCA positive vasculitis with acute tubulointerstitial nephritis and without glomerular involvement. Case Report: A 74 year old [...]