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 […]