Case Presentation: The patient is a 35-year-old female who presented to the emergency department with a chief complaint of abdominal swelling and 10-pound weight gain over the last month. She also reported diffuse abdominal pain, nausea, and vomiting during this time. She had a past medical history of fibromyalgia. She had no relevant social or [...]

Case Presentation: A previously healthy 42 year-old man was admitted with acute abdominal pain. He described onset of periumbilical pain on the morning of admission, resolving after an episode of non-bloody, non-bilious emesis. Later that day, he developed a severe, sharp, constant and non-radiating left lower quadrant pain associated with emesis. He denied fevers, chills, [...]

Case Presentation: A 38-year-old male patient with a history of intravenous drug use was transferred from an outside hospital after initial presentation with persistent fevers, episodic flushing and swelling in right hand and forearm. Workup at the other hospital included blood cultures positive for unspeciated yeast, and a transthoracic echocardiogram with normal ejection fraction (65%) [...]

Case Presentation: Good’s syndrome (GS) is a rare, adult-onset combined B and T cell immunodeficiency with an associated thymoma. These patients have an increased risk of bacterial, fungal, viral, and opportunistic infections. A 75-year-old African American female with congestive heart failure (ejection fraction 20%) and hypertension presented from home with a four-month history of fatigue, [...]

Case Presentation: A 44-year-old female with no significant past medical history, initially came to the E.R. with fever, chills, sore throat, and a painfully swollen neck for the past 5 days. The sore throat was 10/10 in intensity. She reported dysphagia, and revealed that she failed outpatient antibiotics recently prescribed by her PCP for the [...]

Case Presentation: A 77-year-old woman presented with altered mental status, tachycardia, tachypnea, and hypotension. Her family noted 1 month of progressive lethargy, with spontaneous subconjunctival hemorrhage and various episodes of facial and extremity bruising (for which she had 3 prior ED visits). Past medical history was notable for hypertension, remote history of nosebleeds, and menorrhagia [...]

Case Presentation: A 41-year-old woman with no significant medical history and eight weeks postpartum presented to the hospital with new left-sided facial numbness, right labial droop and intermittent numbness of the left arm one day prior to admission. She also had a near-syncopal episode and noticed her speech declined with drooling and facial asymmetry. Admission [...]

Case Presentation: Progressive dysphagia associated with weight loss is usually related to upper gastrointestinal cancer. As a differential diagnosis, fungal infections may present with a similar clinical presentation due to upper GI lesions. Paracoccidioidomycosis (PCM) infection is a systemic granulomatous disease caused by the fungi Paracoccidioides brasiliensis, especially important in rural areas of Latin America. [...]

Case Presentation: A 61-year-old Indian man with past medical history of type 2 diabetes mellitus and dyslipidemia presented with a 3-month history of intermittent dry cough associated with fevers, chills, night sweats, and generalized weakness. He worked in California as an engineer doing home remodeling, never smoked, and had no sick contact, or animal exposure. [...]

Case Presentation: 69 year old woman with atrial fibrillation on warfarin and unspecified connective tissue disease on prednisone presented to the emergency department (ED) with worsening, painful bilateral lower extremity skin lesions. She noted a mildly painful, non-healing left leg wound 3 months prior to presentation; then a 2nd similar lesion appeared on her right [...]