Case Presentation:    The patient is a 16 year old male who presented with 6 days of fever, nausea, vomiting, and diarrhea, 2 days of headache and neck pain, and 1 day of dysuria. He had returned from a month long trip to Bolivia, where he stayed with family.   Physical exam revealed normal vital […]

Case Presentation: A 46-year-old female presented with a 2-day history of shortness of breath, pleuritic chest pain and lower extremity swelling while taking low-molecular weight heparin (LMWH). One month prior she was diagnosed with a left lower extremity DVT after a hysterectomy. She was treated with LMWH with a planned transition to rivaroxaban. Medical history […]

Case Presentation: A 54-year-old male with history of alcoholic cirrhosis (MELD 18 on admission) presented from an outside hospital with decompensation of his cirrhosis and a worsening acute kidney injury (AKI) likely from either hepatorenal syndrome or overdiuresis (FeUrea = 27.2%). His diuretics were initially held on admission to our hospital, and he received a […]

Case Presentation: A 32 years of male with membranoproliferative glomerulonephritis (MPGN) on immunosuppression presented with complaints of fever, abdominal pain and diarrhea. His stool had many WBCs, C. diff was negative and CT of the abdomen revealed enterocolitis. His anaerobic blood culture bottles grew Salmonella group from the nonTyphi subtypes. Further history disclosed that he […]

Case Presentation: A 27-year-old male immigrant male from Guatemala presented with complaint of right-sided scrotal pain, swelling, and fever of 1 month. No reports of weight loss. Physical exam revealed right scrotal swelling, induration with the tenderness of the right testis and epididymis. Lab workup showed normal CBC, CMP. Urine culture, blood culture, chlamydia, and […]

Case Presentation: A 35-year-old HIV positive gentleman presented to the hospital with acute bilateral flank pain associated with dysuria and “sandy pink” urine. He was diagnosed and treated for central nervous system (CNS) Toxoplasma gondii with sulfadiazine and pyrimethamine approximately one month prior to this hospitalization. Vitals signs were stable. Physical exam revealed right abdominal, […]