Case Presentation: A 69 year-old man presented with pleuritic chest pain for several hours.  Prior to admission he had hiked throughout the northeast United States.  Five days prior to presentation he noticed a small, non-painful, non-pruritic erythematous papule on his right ankle.  On presentation, his pulmonary exam was notable for crackles in the left lower […]

Case Presentation: A 30 year old female without any past medical history presented to the Emergency Department for 10 days history of persistent fevers. The fever was as high as 104°F and was accompanied by myalgias, headaches, palpitations, and diaphoresis. The remaining review of systems was negative. Aside from fever and tachycardia, a complete physical […]

Case Presentation: A 66-year-old Caucasian man presented to his primary care physician with significant fatigue and night sweats associated with 30-pound weight loss, headaches, and dyspnea on exertion. He reported the onset of symptoms one week after returning from a hunting trip in Georgia where he caught and cleaned wild boar. After this initial outpatient […]

Case Presentation: A 33-year-old female with liver fibrosis, elective gastric bypass surgery 10 years prior (Roux-en-Y, complicated by afferent loop syndrome requiring subsequent small bowel resection), untreated Hepatitis C (but persistently negative RNA titers), bipolar disorder initially presented to the hospital with a week history of rash on her thighs and forearms thought to be […]

Case Presentation: A 50-year-old man with hypothyroidism and dyslipidemia presented with one week of bilateral upper abdominal pain; subjective fevers; chills; sweats; and anorexia. His abdominal pain was constant, aching, relieved with lying supine, and unaffected by eating. He denied nausea, vomiting, early satiety, weight change, or change in bowel habits or stool characteristics. He […]

Case Presentation: A 69-year-old man with a history of chronic obstructive pulmonary disease was admitted with fevers and altered mental status (AMS). He reported 6 months of fevers, with confusion and shortness of breath. He denied cough and sputum production, but endorsed a 20lb unintentional weight loss. He had no history of immunosuppression, imprisonment, or […]

Case Presentation: A previously healthy 10 year-old girl was admitted directly to the pediatric ward with several weeks of fever of unknown origin, lower extremity edema, right groin edema, erythema and pain. She frequently traveled to Mexico and lived in a farm-type setting.She had been treated for cellulitis with at least 7 different antibiotics at […]

Case Presentation: A 5-month-old male presented to the hospital for further workup of 15 days of fever. In the preceding 2 weeks, he had intermittent symptoms, including cough, rhinorrhea, and diarrhea. He was treated for an ear infection with antibiotics about 5 days into the course for suspected otitis media without resolution of his fever. […]