Case Presentation: A 69 year-old man presented with pleuritic chest pain for several hours.  Prior to admission he had hiked throughout the northeast United States.  Five days prior to presentation he noticed a small, non-painful, non-pruritic erythematous papule on his right ankle.  On presentation, his pulmonary exam was notable for crackles in the left lower […]

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: SH is a 61-year-old male with history of recurrent giardia who presented to the Emergency Department for evaluation of generalized weakness and weight loss in the setting of chronic. Over the past 4 years, he has had recurrent giardia infection despite multiple antiprotozoal agents. Upon presentation, he reported 7 watery, foul-smelling, copious episodes […]

Case Presentation: A two-year-old boy presented with several weeks of increasing irritability and developmental regression. His parents reported that he often displayed aggressive behavior and screamed inconsolably. They also noticed gait instability and vocabulary loss. Of note, the patient had been appropriately treated for neonatal HSV-2 encephalitis with IV acyclovir and had remained on oral […]