Case Presentation: This is the case of a 60 year old female nurse with diabetes who presented with fever. One week prior to admission the patient had fever with cough, nasal congestion, and conjunctivitis. She had presented twice to the emergency department but was discharged with antibiotics. She came back because her symptoms progressed to […]

Case Presentation: A 75 year old male was transferred into the ICU, already intubated, requiring antibiotics and pressors. He was hypotensive, tachypnic with respiratory distress, had severe oliguric AKI with serum creatinine of 6.0, and anemia with hemoglobin below 7.0. His initial CXR and CT showed scattered bilateral pulmonary opacities. After he did not improve […]

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 77 year-old female with a history of hypertension, osteoporosis, and hyperparathyroidism status post two parathyroidectomies presents four days after her second parathyroidectomy complaining of generalized fatigue, weakness, and headache. In the emergency department (ED), she began experiencing nausea and multiple bouts of vomiting. She endorsed loss of appetite but denied any fever, […]

Case Presentation: An 18 year old male with a history of Trisomy 21 and Tetralogy of Fallot status post repair in infancy and subsequent bioprosthetic pulmonary valve replacement presented with a 10 day history of intermittent subjective fevers, diaphoresis, headaches, and left jaw pain.  Patient had undergone a routine dental exam two weeks prior for […]

Case Presentation: 51yoM with no significant medical history presents to ED for evaluation of progressive bilaterally injected, painful conjunctiva of 1 months duration, nonproductive cough and pleuritic chest pain of 1 week’s duration. He was recently treated with moxifloxacin for conjunctivitis without improvement in symptoms. After treatment, he developed nonproductive cough associated with pleurisy and […]

Case Presentation: A 3-year-old female presented with 1-day of fatigue, pallor, dyspnea and dry cough. Vital signs showed HR 152, RR 28, temp 98.8 F, BP 101/67, and oxygen saturation of 75% on room air. On exam, she was well appearing, with clear lungs and no respiratory distress despite the desaturations. Initial testing showed a […]

Case Presentation: A 61-year-old male with a history of alcohol abuse and Insulin-dependent diabetes mellitus presented with complaints of retrosternal chest pain and multiple bouts of coffee-ground emesis for three days. He reported a three-day binge of drinking vodka prior to the presentation. On examination, he was tachycardic, tachypneic, but normotensive. Hand and tongue tremors […]

Case Presentation: A 69 year old male presented with one week history of worsening delusional behavior and encephalopathy. His medical history included hepatitis C (in remission), hypertension, hyperlipidemia, and polysubstance abuse (cocaine, alcohol). Initial CT head revealed a hypodensity involving right temporal, parietal, and occipital lobes suggestive of acute infarction. Subsequent MRI brain revealed T2 […]