Case Presentation: A 55-year-old female presented with headaches and intermittent fevers. On initial examination, she had left hand weakness. Laboratory findings revealed leukocytosis; brain MRI demonstrated multiple bilateral cerebral infarcts. Initial workup was concerning for embolic stroke which initiated our search for a cardioembolic source. No significant abnormalities were seen on transthoracic echo (TTE) and [...]

Case Presentation: A 63-year-old man with a history intravenous heroin use disorder and chronic homelessness was readmitted for worsening right lower extremity pain secondary to recently diagnosed unprovoked bilateral deep vein thrombosis (DVT). He reported substernal chest pain without radiation and dyspnea but denied fevers, chills, weight loss or recent heroin use. His temperature was [...]

Case Presentation: A 30 year old man with a history of type 1 diabetes mellitus and bioprosthetic aortic valve replacement (AVR) for endocarditis presented with 2 days of left eye pain and vision loss associated with fevers, headache, and nausea. He reported intravenous drug use (IVDU) 4 days prior to admission after 14 months of [...]

Case Presentation: An 82-year-old female with past medical history of paroxysmal atrial fibrillation, hypertension, CKD stage 3, and recurrent Pseudomonas aeruginosa urinary tract infection was admitted to a cardiology inpatient service for generalized weakness and atrial fibrillation with rapid ventricular response.Her recurrent UTIs had been occurring monthly for the past year. She was noted to [...]

Case Presentation: A 62-year-old Caucasian male presented to the hospital with complaints of fever, cough for 1 week. The patient was diaphoretic and also complained of malaise. He was admitted after a failed course of oral antibiotics due to suspected pneumonia. The patient denied any chest pain, dyspnea, or sputum production with the cough. Physical [...]

Case Presentation: A 77-year-old male with a history of systolic heart failure, aortic stenosis (AS) status post transcatheter aortic valve replacement (TAVR) 5 months prior, chronic kidney disease, and type 2 diabetes mellitus was brought to the emergency room after a fall at home. He started experiencing a pain on his chronic right great toe [...]

Case Presentation: A 78-year-old Japanese man with chronic heart failure and type 2 diabetes presented with a 2-day history of recurrent fever six days after the termination of a 12-day antimicrobial treatment for pyelonephritis caused by Escherichia coli. The physical examination revealed a body temperature of 38.9 °C, respiratory rate of 24 breaths per minute, [...]

Case Presentation: A 59 year old female with a history of Hepatitis C cirrhosis, esophageal varices, type 2 diabetes mellitus, end-stage renal disease, and hypertension presented to the emergency department to be evaluated for fever at the behest of her dialysis center. She endorsed chills, diffuse abdominal pain, and dyspnea over the past week. She [...]

Case Presentation: This is a 58 year old male with a past medical history of MDD, GAD, history of polysubstance abuse, history of enterococcus bacteremia complicated by aortic valve endocarditis status post valvular replacement and hemorrhagic stroke who was admitted to the hospital for urosepsis. Of note, this patient was previously hospitalized for Lactobacillus bacteremia [...]

Case Presentation: A 69 year-old man presented after experiencing fatigue and fever for two days. He complained of accompanying dyspnea with decreased exercise tolerance and new four-pillow orthopnea. He had a history of myocardial infarction, coronary artery disease status-post multi-vessel coronary artery bypass graft, heart failure with reduced ejection fraction with an implantable cardioverter defibrillator [...]