Case Presentation: A 60-year old white male presented in June with progressive diplopia of ten days duration. Past medical history includes hypertension, coronary artery disease, and hyperlipidemia. Prior to his admission, he was seen by his general practitioner for diffuse pains, fevers, and symptoms attributed a viral syndrome. A sexual history was not taken at […]

Case Presentation: A 24-year-old man presented with MRSA osteomyelitis of his right tibia two months after suffering an open fracture during a helicopter crash into a mountain. He was started on intravenous vancomycin. The patient did well for thirteen days however then started to have recurrent fever spikes up to 104.9 °F with concurrent sinus […]

Case Presentation: A 71-year old female with known stage 3-colon cancer post resection, presented to our neighboring hospital with intermittent pleuritic chest pain radiating to her back. She was started on chemotherapy with 5-fluorouracil (5-FU) three days before presentation and did not have any previous history of coronary artery disease (CAD). She was noted to […]

Case Presentation: A 67 year old female patient with diffuse large B-cell Lymphoma with extensive nodal disease involving the lower thorax, abdomen, pelvis and central nervous system (CNS) presented with generalized weakness, acute confusion and fevers. Her recent treatment history included systemic chemotherapy with dose adjusted etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin, rituximab (DA-EPOCH-R) and intrathecal […]

Case Presentation: A 66 year-old-female with a past medical history of mild hypertension on Losartan was referred to our institution after a significant workup at an outside hospital for gradual progression of dyspnea on exertion and exercise fatigue of one year duration. On presentation, patient was NYHA class IIIB ACC stage C. Patient was previously […]

Case Presentation: A 60-year-old male with history of diabetes mellitus, right foot osteomyelitis, psoriasis, and multiple medication allergies (including vancomycin, levofloxacin, daptomycin, ertapenem, ampicillin-sulbactam, and infliximab) presented to the hospital with complaint of jaundice, abdominal pain, and vomiting. He had been diagnosed one week prior with methicillin sensitive Staphylococcus aureus septic arthritis and was being […]

Case Presentation: A 37-year old male with PMH of HIV on HAART presented with episodes of seizure, syncope and altered mental status. Vital signs and physical examination were unremarkable. Laboratory results revealed sodium level 113, serum osmolarity 243, urine osmolarity 429 and urine sodium 113. Lab findings along with patient appearing euvolemic on exam suggested […]