Case Presentation: A 45-year old female smoker with a history of asthma presented to our institution with an acute episode of dyspnea after being outdoors. On arrival, she was noted to be hemodynamically stable with oxygen saturations of 88% on room air. Her exam was significant for respiratory distress by evidence of tripod position, tachycardia, […]

Case Presentation: A 57-year old man was found down at home one day prior to admission. Three days prior, he experienced intermittent “stabbing” chest pain and dizziness. Past medical history was significant only for multiple sclerosis treated with Copaxone. On admission, he was afebrile, heart rate 113bpm, blood pressure 104/71 mmHg, respiratory rate 19 breaths […]

Case Presentation: An 88-year-old Japanese female with a history of treated breast cancer, palate squamous cell carcinoma and meningioma presented with acute on subacute worsening of left-sided facial droop, dysarthria, and dysphagia. Two weeks prior to admission, she developed these neurological symptoms followed by a brain magnetic resonance imaging (MRI) that revealed no acute intracranial mortalities. She was […]

Case Presentation: Purulent pericarditis is rare in the post-antibiotic era. Even rarer is purulent pericarditis caused by Streptococcus Constellatus causing purulent pericarditis in an immunocompetent patient. Here we present a case of an immunocompetent patient who acquired this infection from an unknown source and deteriorated rapidly in spite of optimal medical therapy.A 68-year-old female presented […]

Case Presentation: A 62 year old female with reported history of Crohn’s Colitis in non-biologic remission was administered oral amoxicillin 2.5g twice for two dental procedures. Subsequently, she developed 10-20 loose bowel movements with abdominal CT demonstrating pancolitis without megacolon. Positive stool Clostridium difficile toxin B prompted initial treatment at an outside hospital with oral […]

Case Presentation: Patient was a 37 year-old gentleman with history of recently diagnosed heart failure, hypertension, non-Hodgkin’s lymphoma s/p chemotherapy and prior methamphetamine use who presented with chest pain. He reported a history of heart failure but had never had cardiac imaging. This diagnosis had been made clinically based on lower extremity edema. He had […]

Case Presentation: A 67 year old male with a past medical history of recurrent pericarditis, hypertension, psoriatic arthritis, and gout presented with diffuse chest pain. Patient stated that the pain was substernal, 10/10, sharp in nature, and non-radiating. Pain was aggravated by exertion and alleviated with rest, nitroglycerin and morphine. Pain was associated with shortness […]

Case Presentation: 72 years old Caucasian male presented to the hospital with the complaint of generalized maculopapular rash involving the chest and bilateral upper and lower extremities with the itching for the last 12 hours. He also had been having diarrhea for the last 2 days which was loose watery in consistency and yellowish in […]