Case Presentation: A 60-year-old female with hypertension and hyperlipidemia presented with 8 days of generalized weakness, fatigue, and myalgia. She reported headaches and shortness of breath but denied fever, chills or hematochezia. Vitals were stable and physical exam was unremarkable except for splenomegaly, scleral icterus, and mucosal pallor. Hemoglobin was 4.0 on admission, down from […]

Case Presentation: 19-year-old slaughterhouse worker from Pennsylvania presented to the hospital with recurrent episodes of fever, myalgias, dysphagia, headache, and diarrhea. He denied recent travel, tick bites and sick contacts. He was febrile at 102.6F with the pulse rate of 102bpm. Physical examination was benign without lymphadenopathies, organomegaly, meningeal signs and neurological deficits. Labs were […]