Case Presentation: A 37-year-old African American female with history of colitis presented with dyspnea and cough. Workup revealed a pleural-based left upper lobe mass and mediastinal lymphadenopathy. She denied exposure to mold, fungus, chemicals, inhalants, farms, or birds. Pathology was inconclusive but revealed poorly differentiated granulomas. She was given a diagnosis of sarcoidosis (without associated [...]

Case Presentation: Adverse drug reactions are any injury that is a result of medication use and can be classified into two categories. Type A are reactions that are common and predictable. Type B are reactions that are rare and unpredictable. An 81-year-old woman with history of essential thrombocythemia presented with an intermittent, relapsing and remitting [...]

Case Presentation: A previously healthy 56-year-old female with mitral valve prolapse presented to a Georgia hospital with several days of headache and chest pain. Six weeks prior to admission (PTA), she visited her family ranch in west Texas for three weeks. One week PTA, she developed fever, myalgias, fatigue, and pleuritic chest pain. Her chest [...]

Case Presentation: An 86-year-old woman with history of EBV encephalitis four years prior presented for altered mental status and emesis in September. Previously, the patient was able to perform all activities of daily living. A week prior to presentation, patient developed a cough and was noted to have slow mentation. Exam was notable for fever [...]

Case Presentation: A 57 years old man with a history of prediabetes and Lyme disease diagnosed two months prior to admission and treated with doxycycline for three weeks, was transferred from another hospital to our institution for recurrent high grade fevers and shaking chills for two months. Originally from Guatemala, he had lived in America [...]

Case Presentation: A 21 year old man presented to his primary care doctor with 4 days of fever and pruritic rash on his hands and feet. Labs showed leukocytosis and transaminitis. He was started on doxycycline for Rocky Mountain Spotted Fever, however tick borne serologies, MonoSpot, HIV, RPR and hepatidities were ultimately negative. He presented [...]

Case Presentation: A 63-year-old man presents with a painful, erythematous lesion on his left thigh. He indicates that the lesion first appeared seven days ago and was followed by the onset fevers, chills, headaches, and body aches. The patient’s past medical history is notable for HIV on antiretroviral therapy with a recent CD4 count of [...]

Case Presentation: A 63-year-old Hispanic man from Mexico, with a history of hypertension and obesity, presented in September to an outside hospital with high fevers. He worked as a truck driver primarily in Arizona. He had a witnessed seizure and developed persistent altered mental status. The patient rapidly decompensated into septic shock requiring vasopressors, and [...]

Case Presentation: An 84-year-old Caucasian male presented to the emergency department with a chief complaint of fevers, rigors and altered mental status. On physical exam, the patient was a well-nourished, well-developed male with a fever of 102F. His chest x-ray was clear and free of any infiltrates. His urinalysis was benign with only trace proteins [...]

Case Presentation: A 70-year-old man was admitted to our hospital due to prolonged fever and progressive polyarthritis. He had progressive supranuclear palsy and needed a cane when walking. Six-months before admission for his current illness, he had high fever and arthralgia in the right elbow, which was treated with loxoprofen. However, loxoprofen produced only temporary [...]