Case Presentation: A 49-year-old man presented to the Emergency Department with a two-day history of worsening chills. He was afebrile with HR 115 beats/minute, RR 22 breaths/minute, BP 120/93 mmhg. Pertinent findings on physical exam revealed an ill appearing male with a new facial rash and a new systolic murmur. Labs were significant for WBC [...]

Case Presentation: A 30-year-old male with past medical history of seizure disorder, hepatitis C, depression and intravenous drug abuse presented with fever, progressive generalized myalgia and cough of three days duration. He also endorsed migratory polyarthralgia and a recent dental surgery. He denied any intravenous drug use in the past three years. Physical exam was [...]

Case Presentation: A 42-year-old woman was admitted for recurrent multifocal cerebral infarction. She had five episodes of consecutive strokes involving different vascular territories over 8 months resulting in expressive aphasia, visual deficits, and extremity weakness. All laboratory and urine studies, including autoimmune and hypercoaguable workup were unremarkable. Treponema and HIV serologies were negative. Initial cerebral [...]

Case Presentation: A 49-year-old man with metastatic pancreatic adenocarcinoma diagnosed three months ago and not yet on therapy presented to the emergency room with symptoms of nausea, vomiting, and abdominal pain for one day. Computed tomography of the abdomen and pelvis showed splenic infarcts, bilateral renal infarcts, and increased size of hepatic metastases. On the [...]