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 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: 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: [...]

Case Presentation: A 69-year-old male with prostate cancer in remission developed diplopia 2 weeks prior to presentation. Workup at the referring hospital included a normal ophthalmologic exam and an MRI brain with possible mastoiditis and/or otitis media. A course of unknown oral antibiotics was completed. He had no improvement of his diplopia and progressed to [...]