Case Presentation: Statins are commonly prescribed medications that reduce cardiovascular disease. Their side effect profile consists of muscle-related adverse effects that are classified into toxic or autoimmune forms. We present a case of statin-induced necrotizing autoimmune myopathy (SINAM), a recently characterized entity within this spectrum of statin myotoxicity. While rare, it is important to recognize [...]

Case Presentation: Introduction: We report a case of acute kidney injury (AKI) secondary to heme-induced nephropathy requiring hemodialysis, following percutaneous mechanical thrombectomy using AngioJetTM. Case Report: A 63 years-old African-American female with prior history of deep vein thrombosis (DVT) who was on treatment with apixaban, presented to the emergency room with acute-onset left leg pain [...]

Case Presentation: We present a case of 26-year-old female presented with acute ischemic stroke. She presented with altered mental status from Rehabilitation center. She has history of sickle cell and recurrent strokes in the past. Extensive prior work up for recurrent strokes was done and she was thought to have Moyamoya disease. Before this presentation, [...]

Case Presentation: A 55 year-old woman with past history of antiphospholipid syndrome complicated by multiple deep vein thromboses and miscarriages, prior hemorrhagic stroke, chronic slow GI bleed with iron deficiency anemia, thrombocytopenia, and CKD stage 3 presents to the ED with two-month history of progressively worsening shortness of breath and chest discomfort with exertion, which [...]

Case Presentation: A 70-year-old male with past medical history of hypertension and atrial fibrillation, recently admitted for right calcaneal osteomyelitis complicated by vancomycin-resistant MRSA bacteremia, was discharged to a rehabilitation facility to complete a course of ceftaroline and daptomycin for 6 weeks duration. He presented to the emergency room about 3 weeks later with skin [...]

Case Presentation: A 48 year-old man presented with one day of headache and pain in his low back, buttocks, calves, thighs and arms after days of strenuous yardwork, including digging in soil to move pipes. He took infrequent breaks, felt overheated, and had inadequate fluid intake. He had bilateral subconjunctival hemorrhage, tachycardia, tachypnea with accessory [...]

Case Presentation: The patient is a 64-year-old male, BMI 35.6 kg/m2, with a history of diabetes mellitus II, hypertension, hyperlipidemia, and recent CAD after syncope, who was under going CABG. A cardiac tumor was incidentally found intraoperatively (Figure 1). The pre-operative transthoracic echocardiogram (TTE) was negative for signs of tumor (Figure 2), however, when it [...]

Case Presentation: A 36-year-old man with human immunodeficiency virus (HIV) on antiretroviral therapy presented with an anterior mediastinal mass on computed tomography (CT). A biopsy was not concerning for a malignant or infectious process, and the mass was monitored with routine imaging. Two years later, he presented with neck weakness, diplopia, and dysphagia concerning for [...]

Case Presentation: A 58-year-old man presented with two days of confusion, tremors and seizures. Past medical history included schizophrenia, epilepsy, HCV infection and right hemiparesis due to ischemic strokes. He initiated dasabuvir, ombitasvir, paritaprevir and ritonavir (Viekira Pak) three days earlier. His epilepsy had been well controlled on lamotrigine for years. Review of systems was [...]

Case Presentation: A previously healthy 68-year-old woman presented with three weeks of progressive abdominal and leg swelling. While visiting family in Mexico two weeks prior, she developed an itchy rash on her thighs that spread distally. She denied fever, cough, dysphagia, vomiting, or abdominal pain, but did report a six pound weight loss. Physical exam [...]