Case Presentation: A 63‐year‐old male nonsmoker with monoclonal gammopathy of undetermined significance and prostate cancer presented with 2.5 months of dysphagia, odynophagia, hoarseness, and midline neck swelling. Computed tomographic (CT) scan of the neck revealed a cystic mass extending inferiorly from the tongue base to the level of the thyroid cartilage, without lymphadenopathy. Fine‐needle aspiration […]

Case Presentation: A 22-year-old male with history of diabetes mellitus type I presents with 3 weeks of right inguinal pain with CT scan which showed a enlarged lymph node measuring 3.5 cm x 2.8 cm which was subsequently biopsied and showed necrotizing granulomatous lymphadenitis. He then presented with status epilepticus approximately 1 week after his […]

Case Presentation: A 71-year old female presented to the ED with weakness and back pain starting after a minor motor vehicular accident two days prior. Her past medical history included Type 2 diabetes mellitus and cerebrovascular accident with residual right-sided weakness. Her medications included basal insulin, nateglinide, metformin, canagliflozin, and dulaglutide. She also had decreased […]

Case Presentation: A 57-year-old man with IgA vasculitis on maintenance rituximab, cyclophosphamide and prednisone presented with 2 months low-grade fevers, fatigue, 60 pounds weight loss, and bilateral visual abnormalities. Family cared for his 7 cats and new kittens while he presented to our hospital. Ophthalmological exam was notable for bilateral neuroretinitis. MRI of the brain […]