Case Presentation: A 76 year old male with past medical history of hypertension, hepatitis C, and unprovoked pulmonary embolism presented to an outside hospital with multiple complaints. He first noticed fatigue over weeks and then developed fevers for one week. He also endorsed several days of pain and swelling of bilateral lower extremities and severe […]

Case Presentation: A 5 month old girl presented with 5 day history of fever and swelling of the right side of her neck.  Physical examination denoted a febrile, well appearing infant with a 3cm X 2.5cm indurated swelling posterior to midline of the mandible with erythema extending from chin to post-auricular area.  WBC count was […]

Case Presentation: A 71-year-old man presented with 2 months of progressive diffuse weakness and myalgias to the point of not being able to ambulate without a cane. He noticed lumps on his left forearm during that time, which improved spontaneously. He also endorsed photophobia, right eye swelling, and pain worsened by extraocular movement. He had […]

Case Presentation: A 54 year old male developed acute encephalopathy and unilateral paralysis. He had a history of lung adenocarcinoma for which in1998 he underwent open resection of both lung tumor and brain metastases followed by adjuvant chemo radiation. He subsequently developed radiation esophagitis and esophageal strictures. He underwent 20 separate Esophagastroduodenoscopies (EGDs) for esophageal […]