Background: This presentation will describe a novel study started during a sabbatical year in Colombia. It will briefly cover logistics of taking a sabbatical year and then discuss the ongoing project and preliminary results. Dengue, a neglected tropical viral disease transmitted by the Aedes egypti mosquito, is endemic in Colombia and serves as an ideal [...]

Case Presentation: A 32-year-old South Asian woman with history of IgA nephropathy complicated by end stage renal disease status post renal transplant (CMV/EBV positive), latent tuberculosis infection, C. Diff colitis, and recurrent urinary tract infections presented with two days of fevers and diarrhea. One week prior to admission she was seen at a local ED [...]

Case Presentation: Talaromycosis (formerly known as Penicilliosis) is a rare fungal disease that predominantly affects immunocompromised patients, such as those with HIV and low CD4 cell counts, from endemic regions (e.g., Southeast Asia). There have been a limited number of cases reported worldwide, with a travel-related exposure. We present a case of an immunocompetent patient [...]

Case Presentation: A 30 year old female without any past medical history presented to the Emergency Department for 10 days history of persistent fevers. The fever was as high as 104°F and was accompanied by myalgias, headaches, palpitations, and diaphoresis. The remaining review of systems was negative. Aside from fever and tachycardia, a complete physical [...]

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 39-year-old construction worker with no past medical history presented to the hospital with a 2-week-history of fatigue and left upper quadrant abdominal pain associated with intermittent high fevers and chills. Patient reports his 9-year-old daughter was sick with fevers and an upper respiratory tract infection a month ago right after a camping [...]

Case Presentation: A 24-year-old man presented with MRSA osteomyelitis of his right tibia two months after suffering an open fracture during a helicopter crash into a mountain. He was started on intravenous vancomycin. The patient did well for thirteen days however then started to have recurrent fever spikes up to 104.9 °F with concurrent sinus [...]

Case Presentation: A 86 year-old man with rheumatoid arthritis on methotrexate and prednisone, CAD, HTN, CKD 3 presented with bilateral lower extremity rash for 5 days. He initially had pruritus in the legs, now progressed with redness and pain. He spent most of his days in his backyard during the summertime but did not recall [...]

Case Presentation: A 69 year old woman presented to our hospital with 5 days of fever, diarrhea, abdominal pain & debilitating leg pain. Her only known medical problem was hyperlipidemia, for which she had recently increased her statin dose. 6 weeks prior to admission, she visited her hometown in Jiangxi, China. There, she drank tap [...]

Case Presentation: A 66-year-old Caucasian man presented to his primary care physician with significant fatigue and night sweats associated with 30-pound weight loss, headaches, and dyspnea on exertion. He reported the onset of symptoms one week after returning from a hunting trip in Georgia where he caught and cleaned wild boar. After this initial outpatient [...]