Case Presentation: A 29-year-old previously healthy male presented with acute symmetrical joint pain with swelling, back pain, headache, and photophobia. He had no established past medical history and his social history was unremarkable. He was febrile with an examination significant for upper and lower extremity joint tenderness, warmth, and joint swelling in his hands, feet, […]

Case Presentation: A 28-year old Vietnamese man who has sex with men (MSM) with recent diagnosis of AIDS, on antiretroviral therapy (ART), presented to the hospital with 1 month of fevers associated with headaches, night sweats, anorexia, and diarrhea. He was born in Vietnam but moved to the United States 2 years prior to presentation […]

Case Presentation: A 40-year-old man with untreated HIV presented with two weeks of worsening nausea, headache and diplopia. In addition, the patient had some confusion limiting his ability to recall pertinent medical history other than several years ago he was treated for a fungal brain infection. He denied any fevers, weight changes, abdominal pain, or […]

Case Presentation: A 42-year-old man was diagnosed with AIDS after presenting to his PCP for subacute subjective fevers, unintended weight loss, headache, and generalized malaise. He was referred to infectious diseases and was started on Biktarvy for ART as well as Bactrim and Zithromax for prophylaxis for a CD4 count of 18 cells/mm3 and HIV […]

Case Presentation: A 68-year-old male with a pituitary adenoma resected 6 months ago complicated by panhypopituitarism on oral hydrocortisone, presented to the ED with acute progressive altered mental status, headache, and fatigue. On the day of presentation, he became confused to the point where he could not dress himself. Vitals were significant for HR 98. […]

Case Presentation: A 24-years-old man with no prior comorbidity presented to the hospital with a 2 months history of progressive, left sided headaches. He also developed diplopia 1 week prior when his family also noticed the deviated left eye. Upon arrival his temperature was 36.5 Celsius degree, blood pressure 142/90, respiratory rate 18 and heart […]

Case Presentation: 62-year-old female with a past medical history of diabetes mellitus and breast cancer in remission presented to the emergency department (ED) with complaints of intermittent frontal headache for 2-3 weeks progressing to 1 day of fever, altered mentation, aphasia, and vomiting. In the ED, patient was afebrile with stable vital signs. Initial labs […]

Case Presentation: A 62-year-old female with a past medical history of stroke, obesity, hypertension, and hyperlipidemia presented to the emergency department with fever and altered mental status. She was started on empiric meningitis treatment and her mentation improved dramatically with eventual return to baseline. Cerebrospinal fluid (CSF) studies from a lumbar puncture performed later during […]

Case Presentation: Learning Objectives: – To recognize ehrlichioisis as a possible cause of aseptic meningitis – To understand activities that increase the risk of tick-borne diseasesCase Presentation:A 69-year-old Black man presented to a Louisiana hospital with a two-day history of falls, intermittent disorientation, lower extremity weakness and pain, and urinary retention. He denied skin changes, […]

Case Presentation: A 52-year-old African American woman presented to her local hospital with a 3-week history of headache and diplopia without an inciting event. At that time, she was treated symptomatically and discharged. After persistent symptoms and new onset imbalance, neck stiffness, vomiting, and blurry vision, she reported to a second hospital. Her past medical […]