Case Presentation: A 48 year-old woman with a history of ulcerative colitis presented to the hospital with a rash and diffuse myalgia of one-week duration. The skin rash was painful and mildly pruritic. She had no fever, abdominal pain, diarrhea, or arthralgia. Physical exam revealed papules on the conjunctivae of her right eye and non-tender, […]

Case Presentation: 62 year old male from Arizona was admitted at an outside hospital with a 3 week history of headaches, fever and arthralgias. Patient was exposed to desert flora and surrounded by wild life, but there is no history of overseas travel in several years. Physical exam was normal, except for fever of 100 […]