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 36 year-old otherwise healthy female presented with six days of acute flu-like symptoms, myalgias, persistent fever and chills associated with abdominal bloating and vomiting for three days. Physical exam was notable for temperature of 103 F, sinus tachycardia and mild tenderness at the left upper quadrant on deep palpation. Labs were notable [...]