Case Presentation: A 40-year-old male of Hispanic/Asian origin with a history of diabetes mellitus type II, hypertension, dyslipidemia, recurrent sinusitis and bilateral otitis media presented to the emergency department complaining of acute hand joints pain, nasal congestion and left ear pain. On physical examination, he appeared fatigued with no acute distress. He had prominent sinus [...]

Case Presentation: A 65 year-old Mexican man had presented to an outside hospital with 2 weeks of cough and dyspnea and was found to have a new apical pulmonary infiltrate. He underwent lung biopsy and was treated for pneumonia for several days without resolution of his symptoms. He was transferred to our medicine service and [...]

Case Presentation: A 27-year-old white male with adult-onset asthma and recurrent pneumonia presented to a rural hospital with a one month history of ascending lower extremity numbness. He also reported fever, fatigue, night sweats, and a twenty-pound weight loss over three weeks. Initial workup revealed leukocytosis and eosinophilia, prompting transfer to our facility for further [...]