Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed […]

Case Presentation: A 33-year-old woman presented to the hospital following seven days of persistent fever and non-productive cough despite a course of azithromycin prescribed by her primary care physician. She denied shortness of breath, chest pain, palpitations or lower extremity swelling. She reported no sick contacts or travel in the last six months. She endorsed […]

Case Presentation: 23 year old male with history of 8 years of vaping presents with 3 days history of fever, tachypnea, diarrhea, nausea. On initial presentation he had signs of sepsis with hypoxia.Vitals: TMax – 102.7, PR – 119, BP 124/82, RR 28.Labs-WBC-14,800, N- 92%, L 1%, Hb 13.2, Platelets 276, Na 132, K – […]

Case Presentation: A 53 year old gentleman presented to the emergency department with acute left arm weakness and altered mental status with difficulty with memory and performing activities of daily living. His past medical history was significant for neurosyphilis (treated with two weeks of IV penicillin G 7 months prior to presentation) chronic hepatitis C, […]

Case Presentation:  A 59-year-old white female with past medical history of 30 pack-year tobacco use, HTN, T2DM, and MS presented with malaise, fatigue, and diarrhea for the past two months. During this time period she also experienced consistent hyperglycemia and HTN, despite continued use of her prescribed medications. Upon admission, she was found to have […]

Case Presentation: A 26-year-old woman presented following accidental ingestion and aspiration of lighter fluid during a fire-breathing performance. She noted difficulty breathing, significant oral pain, and a burning sensation in her throat and chest.Initial vitals were notable for tachycardia to 110s, tachypnea to mid-20s, and oxygen saturation of 100% on non-rebreather mask. She appeared anxious […]

Case Presentation: A 24 year-old man with past medical history significant for tobacco, marijuana, and e-cigarette use presented to the emergency department for hemoptysis, dyspnea, cough with pleuritic chest pain, and subjective fevers. Twenty-four hours prior to presentation, the patient endorsed first-time use of a street-purchased e-cigarette cartridge containing tetrahydrocannabinol (THC). The patient had acute […]

Case Presentation: A 59-year-old man presented via ambulance with acute onset of back pain and confusion that rapidly progressed to diffuse abdominal pain, out of proportion to exam.  He denied any diarrhea or bloody stools but history was largely limited due to agitation and confusion.  Initial vitals were temperature 36.1° C, pulse 92, respirations 28, […]

Case Presentation: A female of 70-years with a history of osteoarthritis presented with four weeks of fever, weight loss, night sweats, and fatigue. She was hypotensive, febrile, tachycardic and tachypneic. She was initially managed per sepsis protocol. Laboratory data revealed WBC 2.7 K/UL, Hgb 9.8 g/dL, PLT 77 K/DL, AST 71 IU/L ALT 49 IU/L, […]

Case Presentation: Exogenous lipoid pneumonia (ELP) is an unusual respiratory disease caused by inflammation from a foreign body reaction to inhaled lipid particles. Here we present a case of this illness in the absence of a history of vaping, and we show how diagnosis can be delayed while searching for more common respiratory disorders. Discussion: […]