Case Presentation: Bone marrow sarcoidosis along renal involvement is extremely rare and diagnosis can be a challenge. Here we report a rare occurrence of sarcoidosis presenting as anemia and Acute Kidney Injury (AKI) without pulmonary involvement. Case Report A 27-year-old female was admitted to hospital with fatigue, abdominal pain, and generalized weakness. Past medical history was [...]

Case Presentation: A 26-year-old man from Haiti with no past medical history was hospitalized with a four month history of intermittent fevers, weight loss, and dyspnea. In the ED, he was found to be febrile, tachycardic, and tachypneic with an oxygen saturation of 88% on room air. Physical exam was significant for bilateral rales on [...]

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 [...]

Case Presentation: A 28-year-old man with ulcerative colitis treated with adalimumab presented with headache, fever and sinus symptoms that progressed over two weeks to neck stiffness, “clouded” thinking, and intermittent left arm and facial numbness. On physical examination, he had normal cardiorespiratory findings. He had mild nuchal rigidity but an otherwise normal neurologic examination. CT [...]

Case Presentation: 39 year-old African-American male presented with dizziness, worse with movement and short-term memory loss, remaining oriented, without visual changes, and no focal deficits. He complained of chronic sinusitis for the past year. CT head showed a hyperdense mass with surrounding white matter edema in the left basal ganglia. Confirmed by leptomeningeal enhancement by [...]

Case Presentation: A 47-year-old African-American man with obstructive sleep apnea presented to the emergency department after being called-back due to evidence of complete atrioventricular (AV) block on routine electrocardiogram. Patient reported a 6-month history of fatigue and exertional dyspnea. On physical examination, he was afebrile and in no acute distress. Vital signs were BP: 142/92 [...]