Case Presentation: A 64-year-old Caucasian male with hypertension and diabetes mellitus presented to the emergency room with confusion, ataxia, and urinary retention after a 10-day cruise to Aruba. During the cruise, he developed fever, diarrhea, and a rash. After returning home, he visited a local ED and was treated with ciprofloxacin and metronidazole for febrile [...]

Case Presentation: A 63 year old female with history of renal cell carcinoma status post nephrectomy, end stage renal diseases on hemodialysis via permacath, hypertension, stroke with right-sided weakness, bilateral blindness from glaucoma and corneal transplant rejection, history of deep vein thrombosis and pulmonary embolism on anticoagulation and recent admission for coagulase-negative staphylococcus (CONS) bacteremia [...]

Case Presentation: An 89-year-old woman presented to the emergency department with dyspnea and dysphagia. She gave a one-year history of progressive hoarseness of voice, intermittent dyspnea, and dysphagia. Physical exam was positive for stridor, but negative for any neurological, thyroid, or pulmonary disease. Initial management involved administration of dexamethasone and urgent transnasal flexible fiberoptic laryngoscopy, [...]

Case Presentation: A 50 yo Hispanic male with a history of Diabetes Mellitus Type 2 and hypertension presented to our hospital with seven months of joint pain and ulcers of his metacarpals, 50-pound weight loss, weakness, dysphagia, and rash. The patient first sought medical attention when he acutely developed severe arthralgia involving his hands. He [...]

Case Presentation: A 34 yo Hispanic male with recently diagnosed AIDS (CD4 <20) presented to our hospital with fevers, chills, shortness of breath, and hemoptysis. Patient initially presented one month ago with similar symptoms at an outside hospital (OSH). CT Thorax showed bilateral pleural effusions with diffuse patchy groundglass and consolidative opacities. CT Abdomen/Pelvis demonstrated [...]

Case Presentation: 62-year-old man with recent hospitalization for septic shock due to toe osteomyelitis,complicated by severe C. difficile infection requiring fecal transplant 3 weeks prior to admission,presenting with confusion,right-sided weakness,and ataxia.Symptoms were first noted 2 weeks after the fecal transplant and consisted of depressed mood and right shoulder weakness.Neurological exam was notable for neglect of [...]

Case Presentation: A 64-year-old Pakistani man was referred to nephrology clinic for evaluation of progressive kidney disease. Relevant medical history included well-controlled type 2 diabetes mellitus, gout and hypertension. Six months prior to presentation his serum creatinine level was 2.9 mg/dL (eGFR 22 ml/min per 1.73m2), patient had been asymptomatic and had well-controlled co-morbidities without [...]

Case Presentation: A 49-year-old man with a history of type 2 diabetes and obstructive sleep apnea presented after suffering a cardiac arrest at a local airport. He was reportedly healthy appearing until suddenly slumping over in his chair at the terminal. A bystander determined the patient was pulseless and initiated CPR. He received 3 shocks [...]

Case Presentation: IntroductionMost cases of mushroom ingestion are benign with fatalities being rare. Symptoms range from acute gastro-enteritis to psychotropic manifestations that are usually self-limiting. Our case highlights a unique case of mushroom poisoning fatality The Case 72 y.o F Korean visitor to NE USA presented with acute onset of emesis, diarrhea, abdominal pain and [...]

Case Presentation: A 69 year-old man with history of high-grade invasive urothelial bladder cancer post tumor resection on Bacillus Calmette-Guérin (BCG) treatment and renal cell carcinoma post left partial nephrectomy presented with high-grade fever, night sweats, rigors, and lower abdominal pain for 2 weeks. The last BCG instillation, of 11 total, was 17 days prior [...]