Case Presentation:      A  26 year old man without significant medical history presented  on October 10, 2014 with 24 hours of severe abdominal pain. He was found to have severe pancreatitis with multiorgan failure requiring pressors for hypotension and intubation for respiratory failure.  Laboratory data included a lipase of 1953, a gapped metabolic ketoacidosis acidosis […]

Case Presentation: Coccidioidomycosis is a highly variable disease endemic to the southwest with 60% of infected individuals remaining asymptomatic or suffering mild respiratory illness. Less than 1% of cases result in life-threatening dissemination with immunocompromised hosts being most at risk. We present a rare case of multifocal disseminated coccidioidomycosis (DC) in an immunocompetent young male […]

Case Presentation: A 25-year-old previously healthy male presented with two weeks of right arm and leg weakness, paresthesia, difficulty walking, and low-grade fever. Head CT revealed two masses in the superior left cerebral hemisphere. Head MRI showed two intensely enhancing masses measuring 2.6 x 2.7 cm and 1.6 x 1.7 cm with marked surrounding edema […]

Case Presentation: A 59 year-old male with a past medical history of Type 1 muscular dystrophy presented to the emergency room with acute onset of chest pain. The patient reported he had some mild abdominal and epigastric pain the night prior, but in the morning, it became intolerable chest pain. The pain was described as […]

Case Presentation: 50 y.o African American male with a history of schizophrenia presented for headache, blurred vision and acute onset aphasia. On exam, patient was alert, but unable to follow commands. He was noted to have poor dentition. Lab studies revealed WBC count of 4.1 with 47% neutrophils. BMP and liver function studies were unremarkable. […]