Case Presentation: A 14yo girl presented with syncope and 4 days of URI symptoms. She had no past medical or family history. On presentation, she was hypotensive with mildly elevated lactate, troponin, and BNP, and an unremarkable ECG and chest radiograph. Initial echocardiogram showed normal LV function. Cardiac MRI revealed a pericardial effusion and increased [...]

Case Presentation: A previously healthy 21-year-old man presented to the emergency department with a three-day history of rash, fever, and fatigue. The rash first appeared on his trunk and spread to his arms and hands on the first day of illness. Over the next two days, he developed worsening fevers and fatigue, and was sleeping [...]

Case Presentation: A 71-year-old male with no known past medical history presented with chief complaint of fatigue associated with generalized weakness, malaise, slurring of speech and body aches specifically upper and lower back pain for 3 weeks. He reported working in the woods. Vital signs were unremarkable. Physical exam was remarkable for a faint erythematous [...]

Case Presentation: A 71 year-old man with no medical history presented in October with fevers, headache, neck stiffness, photophobia, and confusion for 3 days. Per family, patient was fully functional with no memory deficits at baseline. He never traveled outside of New York tri-state area and has had no sick contacts or insect bites. Initial [...]

Case Presentation: A 42 Y/O AAM with PMH of polysubstance abuse presented to ED with 2 weeks of worsening vertigo, headache, left facial weakness, blurred vision and new onset dysphagia. Physical exam was notable for complete left facial (VII) palsy, left abducence (VI) palsy and umbilicated facial rash. MRI of head revealed a 2.6×2.6×3.9 cm progressive brain lesion at [...]

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 68 year-old male transferred from an outside hospital to this tertiary care academic medical center. He presented at the outside hospital with syncope, nausea, diarrhea, rash, profound weakness and fever. Because he was a rancher and frequently had tick bites, with one recently found to be deeply embedded and engorged with blood, [...]

Case Presentation: A 29-year-old male presented to our hospital with four weeks of worsening fatigue, shortness of breath and a 15lb weight loss due to anorexia. He was short of breath walking up a single flight of stairs, which resolved with rest. He had no environmental exposures, sick contacts or recent travel. His mother had [...]

Case Presentation: A 57 year-old Japanese female with no significant past medical history presented with fever, productive cough and swelling of right ankle for seven days. She lived with her grandchild and her son. Her grandchild had fever and rash three weeks ago, diagnosed with hand foot and mouth disease. Her son had elevated hepatic [...]

Case Presentation: A thirty-three year-old woman presented with four days of rash progressing to facial swelling with painful oral ulcers and difficulty swallowing as well as vaginal pain with painful urination. She also endorsed headaches, arthralgias, and fevers. Her past medical history was significant for a recent IUD placement. Besides prescriptions for diphenhydramine and prednisone [...]