Case Presentation: A 45 y/o Asian Male from Vietnam with PMH of treated pulmonary tuberculosis 10 years ago upon immigration to the US, presented to the ED with 3-day history of fever, abdominal pain, nausea and vomiting. He denied recent travel or use of antibiotics. On exam he had fever 102.2, tachycardia, scleral icterus and […]

Case Presentation: A 69 year old female with medical history significant for hyperthyroidism and transient ischemic attack presented to the hospital with a 2 day history of altered mental status, most notably confusion, and auditory hallucinations. At the time of admission she was on the seventh day of a ten day course of oral Levofloxacin […]

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: NZ is a 60 yo, Iraqi female with a past medical history of remote hemi‐thyroidectomy, who underwent a total thyroidectomy for Graves disease. She required one 2mg IV dose of calcium gluconate during the initial hospital stay for symptomatic hypocalciumia with a value of 7.5mg/dL on post‐operative day (POD) 1. She was discharged […]

Case Presentation: 71 year old man with known medical history of atrial fibrillation (on Rivaroxaban), severe chronic obstructive pulmonary disease, diabetes mellitus, history of perforated diverticulitis with surgery and colostomy one year ago complicated with recurrent methicillin-resistant Staphylococcus aureus (MRSA) infections and prolonged hospitalizations, including MRSA pneumonia and respiratory failure one month ago, presented to […]

Case Presentation: A 14yo female presented with fever, altered mental status and seizure.  Her primary care provider had seen her several times in the preceding two months with complaints of chronic cough and headaches.  In the months prior to admission, she was diagnosed with asthma, allergic rhinitis and finally, acute sinusitis. Four days following diagnosis […]

Case Presentation: A 76-year old man presented to emergency department for 2-week history of right buttock pain, swelling, and drainage. On presentation, he had a temperature of 101.3 F, otherwise hemodynamically stable. Physical examination revealed right buttock erythema and serosanguinous purulence (figure). There were no cardiac murmurs. Leukocytes count was within normal limits. CT abdomen […]

Case Presentation: A 68-year-old man with history of alcohol use and rheumatoid arthritis (RA) treated with methotrexate (MTX), hydroxychloroquine, and infliximab since 2006 presented with recurrent fevers, unintentional weight loss and weakness. When symptoms started 2 months prior, he was found to have mild transaminitis, hypoalbuminemia, prolonged international normalized ratio, and new pancytopenia, prompting discontinuation […]