Case Presentation: A 40 year-old male with a past medical history of HIV presented with two days of fever, emesis and diarrhea. Two weeks prior he had seen his PCP and had a CD4 650cells/mcL with an undetectable viral load. He was started on Abacavir/Dolutegravir/Lamivudine and had been taking it as directed. On admission he […]

Case Presentation: A 28-year old Vietnamese man who has sex with men (MSM) with recent diagnosis of AIDS, on antiretroviral therapy (ART), presented to the hospital with 1 month of fevers associated with headaches, night sweats, anorexia, and diarrhea. He was born in Vietnam but moved to the United States 2 years prior to presentation […]

Case Presentation: A 40-year-old white male who had noticed a nodule over the extensor surface of his right forearm, which then grew to a size of 3 cm tumor and ulcerated over six months. At one point, he was assumed to have an infection and treated with antibiotics with no improvement. Around the same time, […]

Case Presentation: A 21-year-old man with no previous medical history presented to the emergency department with nausea, vomiting and diarrhea for one week. Labs were significant for white blood cell (WBC) count 3.4 k/ul with decreased lymphocytes along with mild elevation of transaminases and lipase. He was thought to have viral gastroenteritis and was discharged. […]

Case Presentation: A 26-year-old male without past medical history presents with complaints of dark brown urine and diffuse muscle pain for the past 24 hours. He was noted to have a creatine phosphokinase was noted to be >100,000 units/L. He denied any preceding symptoms including mononucleosis-like symptoms, no heavy exercise, traumatic injury, or travel. He […]

Case Presentation: A 40-year-old man with untreated HIV presented with two weeks of worsening nausea, headache and diplopia. In addition, the patient had some confusion limiting his ability to recall pertinent medical history other than several years ago he was treated for a fungal brain infection. He denied any fevers, weight changes, abdominal pain, or […]

Case Presentation: A 42-year-old man was diagnosed with AIDS after presenting to his PCP for subacute subjective fevers, unintended weight loss, headache, and generalized malaise. He was referred to infectious diseases and was started on Biktarvy for ART as well as Bactrim and Zithromax for prophylaxis for a CD4 count of 18 cells/mm3 and HIV […]

Case Presentation: 41 y.o male with no past medical history presented with shortness of breath at rest. On presentation, he was febrile, tachycardic to 130’s/min and tachypneic to 32 breaths/min and saturating at 99% on room air. On auscultation, he had absent left-sided breath sounds. Chest X-ray demonstrated opacification of left hemithorax and CT chest […]

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 54 year old man with no known past medical history who presented with complaints of shortness of breath and a new axillary mass for the last three weeks. He previously moved from Kenya 6 years prior with no recent travel. As his mass grew, he began to experience increasing fatigue and shortness […]