Case Presentation: A 48-year-old previously healthy black man presented with lightheadedness, painful bilateral neck swelling and 40-pound weight loss over two months, along with multiple fainting spells. On exam, he had severe orthostatic hypotension and tender cervical lymphadenopathy. He appeared to be euvolemic and rest of the physical examination was normal. His serum sodium was […]

Case Presentation: A 31-year-old female with diabetes mellitus, history of IV drug use on methadone, and untreated HCV infection presented with shortness of breath for one week. She developed a cough productive of green sputum with associated shortness of breath, subjective fevers, chills, pleuritic chest pain, nausea, and vomiting. One day prior to symptoms starting, […]

Case Presentation: This is a 58 year old male with a past medical history of MDD, GAD, history of polysubstance abuse, history of enterococcus bacteremia complicated by aortic valve endocarditis status post valvular replacement and hemorrhagic stroke who was admitted to the hospital for urosepsis. Of note, this patient was previously hospitalized for Lactobacillus bacteremia […]

Case Presentation: A 66-year-old male with a past medical history of rheumatoid arthritis (RA), on chronic prednisone and methotrexate, presented to our institution with a 4-day history of loose watery diarrhea, subjective fevers, rhinorrhea and nasal congestion. He reported anorexia and malaise. On admission, the patient met SIRS criteria with a heart rate > 90 […]