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 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 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: An 87 year old female with a history of hypertension, hypothyroidism, and coronary artery disease presented to the emergency department of a large urban/suburban tertiary care center, with severe epigastric pain associated with nausea and vomiting. The pain was described as constant, stabbing and located in the epigastric region with radiation to the […]

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 74 year old male, a nursing home resident was admitted to the hospital for fever and chills for 3 days. His history was significant for end stage renal disease. Patient had an episode of clostridium difficile (C diff) within 3 months prior to this admission. 3 weeks ago he was started on […]

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: An 87‐year‐old woman presented with one year of progressively worsening left‐sided hearing loss and left ear fullness, 6 months of hoarseness, and 1 month of dysphagia. She also reported an abnormal appearance of her tongue, persistent left‐sided tongue deviation, and inability to “lick (her) lips right.” She sought medical attention after a fit […]