Case Presentation: A 29-year-old woman presented to the emergency department for a 5-day history of persistent fever, sore throat, diffuse myalgias, and epigastric abdominal pain. The patient was recently diagnosed and treated for pelvic inflammatory disease after unprotected intercourse with a new sexual partner. On examination, she was tachycardic, hypotensive, afebrile and was noted to […]

Case Presentation: A 53 year old man with a history of HIV, CD4 count of 20, pulmonary aspergillosis, history of pulmonary stenotrophomonas maltophilia, and bronchus intermedius stenosis presented with fever, dyspnea, and cough of two weeks duration. Physical exam was significant for bilateral rales. Chest X‐ray showed bilateral pulmonary heterogeneous opacities. The patient was diagnosed […]

Case Presentation: 81-year-old man initially presented to his primary care physician for a persistent cough of three weeks associated with new onset shortness of breath when climbing stairs. He had a normal chest X-Ray, but also a mild anemia. Initial work-up was targeted at evaluation for a gastrointestinal bleed. He underwent a CT abdomen/pelvis, upper […]

Case Presentation: A 61 year-old man with cryptogenic cirrhosis, type 2 diabetes mellitus, hypertension, and chronic kidney disease presented with worsening abdominal pain for 3 weeks. He had discontinued oral vancomycin two months earlier for prolonged treatment of C. difficile colitis. Examination revealed new onset ascites, abdominal tenderness, fever, and tachycardia. Labs were remarkable for […]

Case Presentation: A 62-year-old man with type 2 diabetes was hospitalized with a two-week history of fatigue, sore throat, diarrhea, and 18-pound weight loss. In the ED, he was hypotensive and tachycardic, which improved with IV fluids. Physical exam was significant for bilateral posterior cervical lymphadenopathy and splenomegaly. Labs showed leukocytosis (25.8K) with 18.2% lymphocytic […]

Case Presentation: A 51-year-old man with a past medical history of diabetes mellitus, polysubstance abuse, chronic kidney disease stage 3a and major depressive disorder presented to a Texas hospital after a suicide attempt using liquid mercury. While intoxicated from cocaine days prior, he broke into old abandoned homes and obtained liquid mercury from their thermostats […]

Case Presentation: A 21-year-old healthy Hispanic male presented to the hospital for evaluation of fever and sore throat for 4 weeks. He had no significant past medical history and he was not on any medications. His vital signs were within normal limits. Physical exam revealed icterus and no hepatosplenomegaly. The remainder of the physical exam […]

Case Presentation: A 34 year old male with no past medical history initially presented to an urgent care facility with abdominal bloating and discomfort over several months.  It was noted at the time that he had a history of drinking six to twelve beers per day for the past two years.  He was subsequently prescribed […]