Case Presentation: WF, an 88-year-old man with advanced, wild-type transthyretin-associated (ATTR) cardiac amyloidosis (on tafamidis) complicated by distal conduction disease and heart failure with preserved ejection fraction, presented with syncope and was admitted to the cardiac critical care unit for symptomatic, bradycardic atrial fibrillation. A continuous dopamine infusion was started with resolution of symptoms and [...]

Case Presentation: A 38-year-old woman with well-controlled Crohn’s disease on immunosuppression presented to the emergency department with a three- day history of rash and fevers following antimicrobial treatment at an outside urgent care facility for presumed bacterial sinusitis. At the urgent care facility, she had received intramuscular ceftriaxone, oral azithromycin, and oral prednisone. The following [...]

Case Presentation: A 29 year-old male (AP) with history of ALL presented with neutropenic fevers after receiving intrathecal methotrexate one day prior. AP was in consolidation phase of treatment with most recent bone marrow biopsy showing hypocellular marrow without evidence of leukemia. On admission, he was febrile to 102.9 degrees Fahrenheit with pancytopenia and ANC [...]

Case Presentation: A 59-year-old male with a past medical history of end-stage renal disease on hemodialysis, hypertension, diabetes mellitus, and a recent diagnosis of multi-microorganism osteomyelitis due to diabetic foot ulcer on intravenous vancomycin and ertapenem for the past 2 weeks presented to the hospital for visual and auditory hallucinations. The symptoms started shortly after [...]

Case Presentation: A 21 year-old male with history of untreated Hepatitis C and intravenous drug use presented with acute right-sided weakness, fevers and altered mental status. Exam was significant for word-finding difficulty, asymmetric pupils, and 4/5 right-sided upper extremity and facial weakness. Labs were remarkable for leukocytosis. Brain MRI demonstrated expansile process involving the left [...]

Case Presentation: A 55-year-old male with a history of hypertension and bipolar disorder presented with abdominal and groin pain, and unintentional 40lb weight loss over the past 4 months. Furthermore he reported fevers, chills, hematuria, and dysuria. On physical exam he had right upper quadrant abdominal tenderness, bilateral hard and immobile inguinal lymph nodes, and [...]

Case Presentation: A 36-year-old female presented with a month history of cramping abdominal pain, nausea and vomiting that started after an episode of diarrheal illness associated to ingestion of mangoes. Her symptoms were worse with food intake and consequently, she reported a 25-pound weight loss. Her PCP had performed a urea breath test and an [...]

Case Presentation: A 27-year-old female with a history of PTSD, anxiety, and tobacco use initially presented to the emergency department with the worst headache of her life. Labs were significant for white blood cell count of 18.8 (normal 4.3 – 10.8 x 109 cells/L), troponin of 2.91 (

Case Presentation: Dejerine-Roussy syndrome is a rare condition usually caused by ischemic or hemorrhagic strokes involving the thalamus. Patients develop dysesthesia or allodynia, weeks to months after the initial stroke. We present a case of central thalamic pain in a patient who presented with a middle cerebral artery (MCA) infarct with thalamic involvement. A 77 [...]

Case Presentation: A 30-year-old man presented for evaluation of multiple episodes of recurrent non-bloody, watery diarrhea and abdominal complaints. Initially seen in clinic, he was well appearing, with normal lab work (CBC, BMP, TSH, TTG IgA, CRP), but given the subacute timeframe of his diarrhea (2-3 weeks) he was referred to a gastroenterologist. Further testing [...]