Case Presentation: A 30 year-old female with AIDS presented with three weeks of headache, dry cough, odynophagia, vomiting, fatigue and weight loss. She had a history of cryptococcal meningitis requiring lumbo-peritoneal drain four years prior but was lost to follow up, with non-adherence to maintenance and antiretroviral therapy. She had normal vital signs and appeared […]

Case Presentation: An 88 year‐old Hispanic man with non‐insulin dependent diabetes, whose oral anti‐hyperglycemic agents were discontinued a week prior to admission due to hypoglycemia, re‐presented with hypoglycemia. He also reported progressive fatigue and poor oral intake for the past few weeks. He lived at home with a home health assistant who helped him with […]

Case Presentation: Idiopathic CD4 lymphocytopenia (ICL) is a disease characterized by persistently low CD4 T-cell counts without HIV infection or any other discernible cause of T-cell suppression. Individuals with ICL are at increased risk of opportunistic infections, lymphomas, and autoimmune diseases. Diagnosis can be difficult, and prognosis can vary widely depending on the diseases that […]

Case Presentation: A 75-year-old man with CLL, CAD s/p CABG, severe aortic stenosis s/p valve replacement, and atrial fibrillation on apixaban and amiodarone presented with two months of worsening fatigue, constipation, weakness, decreasing visual acuity with occasional diplopia, and worsening leg edema. On admission, he was afebrile, pulse 51, and BP 78/36 mm Hg. Physical […]

Case Presentation: 50 y.o African American male with a history of schizophrenia presented for headache, blurred vision and acute onset aphasia. On exam, patient was alert, but unable to follow commands. He was noted to have poor dentition. Lab studies revealed WBC count of 4.1 with 47% neutrophils. BMP and liver function studies were unremarkable. […]