Background: There is an estimated 160,000 individuals that have been diagnosed with Hepatitis C Virus (HCV) in New Jersey. HCV is a well-known and widespread challenge to personal, societal, and governmental resources and ultimately, human life. Current guidelines from the USPSTF recommend offering a 1-time screening for HCV infection to adults born between 1945 and [...]

Case Presentation: A 15 year-old female with developmental delay presents with intermittent abdominal pain, decreased appetite, and vaginal discharge. Parents disclose a 30 lbs weight loss over 2 years, along with vaginal discharge that was evaluated by self-swab testing and deemed a “normal variant” from menses. When she presented to her PCP’s office, she was [...]

Case Presentation: The diagnosis of a sexually active young male who presents with fevers, night sweats, weight loss with opportunistic infections and then found to have an acquired immunodeficiency is going to be HIV except when it isn’t. We present a patient with a presumptive diagnosis of HIV but a negative comprehensive HIV laboratory testing [...]

Case Presentation: A 42-year-old man presented to an outside hospital emergency department with a complaint of worsening left hip pain and swelling. He attributed the pain to a sports related injury from a baseball tournament he had participated in the prior week. He was diagnosed with muscle strain on two previous emergency department visits. Additional [...]

Case Presentation: A 28 year-old woman with AIDS and a CD4 count of 178 cells/mm3, not on antiretroviral therapy, presented with odynophagia for 2 weeks as well as increased swelling in her neck and inguinal area. She denied any neurological symptoms. On physical examination, the patient had extensive cervical lymphadenopathy with no other significant findings. [...]

Case Presentation: A 29 year old male with a history of known dental caries and HIV with a CD4 count of 871/uL and an undetectable viral load presented with one month of right-sided jaw pain and facial numbness. He was initially treated for Bell’s palsy and dental abscess without improvement. It was recommended that he [...]

Case Presentation: A 67 year old African American male with history of chronic hepatitis B virus (HBV) infection on entecavir therapy [HBV viral load (VL)=64 copies/ml] since 2013 was hospitalized for evaluation of six week history of generalized weakness, thirty pound weight loss and progressive dyspnea. Physical exam was significant for decreased breath sounds and [...]

Case Presentation: A 22 year old man with no past medical history presented to our emergency department with three weeks of nausea, vomiting and abdominal pain. He also reported subjective fevers, hematochezia, hematemesis, oral ulcers, gum bleeding, dark colored urine and 30 pound weight loss over the past month. The patient was not forthcoming with [...]