Case Presentation: A 19 year old female with a history of systemic lupus was found at home unresponsive by family and brought to a local ED. At the ED she was hyperthermic to 106F and hypotensive then transferred to Vidant Medical Center fevers and septic shock. Of note she had recently been discharged from Duke […]

Case Presentation: A 78 year old man presented with neck pain, fever, and malaise for 3 days. He noted progressively worsening pain and stiffness of the anterior neck bilaterally. He reported right- sided headache and subjective fevers but denied any photo or phonophobia. He had no sick contacts or recent travel. Past medical history included […]

Case Presentation: A 10-year-old Hispanic girl with a history of UTIs presented to our ED with seven days of facial rash and dysuria. She had been taking cephalexin for an E. coli UTI as prescribed by her pediatrician. Review of systems was significant for lightheadedness, headache, photosensitivity, fatigue, tactile fevers, and palpitations. On physical examination, […]

Case Presentation: The patient is a previously healthy 23 year old African American female who presented to the hospital with sudden onset lethargy, abdominal pain and profound anemia. Imaging identified hemoperitoneum secondary to hemorrhagic ovarian cyst rupture and given her severe presentation she required salpingoophorectomy. In addition to bicytopenia with a hemoglobin of 4.8 and […]

Case Presentation: A 77 year-old man with ulcerative colitis (UC), which was well controlled on mesalamine, presented to the ED with diffuse and intensely pruritic erythematous vesiculopapular and bullous lesions affecting his face, neck, oral cavity, bilateral upper extremities, palms and dorsa of hands, genitals, lower abdomen, and bilateral lower extremities that had manifested over […]

Case Presentation: A 45-year-old Japanese woman with no significant medical history presented to a primary care physician with a four-week history of fever and coughing. She had also developed fatigue and peripheral edema and was therefore admitted to another hospital. On presentation, her body temperature was 37.5℃, pulse was 98 beats per minute, blood pressure […]