Case Presentation: A 59‐years‐old female presented with progressive muscle weakness of arms and legs, together with parasthesia in both hands and feet for one‐month duration. Her medical history was remarkable for depression, hypertension, and gastro esophageal reflux. Physical examination on admission revealed a blood pressure of 156/86‐mm Hg and Neurological examination showed absent deep tendon […]

Case Presentation: A 59-year-old woman with a history of recurrent hospital admissions over several years for neutropenic fever who presented for generalized body weakness and fever of 102F for one day. On presentation the patient had a temperature of 102.9F, HR 106, BP 128/96. Physical exam was notable for tender cervical lymphadenopathy and pharyngeal erythema. […]

Case Presentation: A 60-year old white male presented in June with progressive diplopia of ten days duration. Past medical history includes hypertension, coronary artery disease, and hyperlipidemia. Prior to his admission, he was seen by his general practitioner for diffuse pains, fevers, and symptoms attributed a viral syndrome. A sexual history was not taken at […]

Case Presentation: A 24-year-old man presented with MRSA osteomyelitis of his right tibia two months after suffering an open fracture during a helicopter crash into a mountain. He was started on intravenous vancomycin. The patient did well for thirteen days however then started to have recurrent fever spikes up to 104.9 °F with concurrent sinus […]

Case Presentation: A 37 year-old Jamaican male with no toxic habits presented after multiple admissions for recurrent fevers, jaundice, abdominal pain, and presumed cholangitis over the past 2 months. Abdominal US and MRCP showed hepatitis with dilation of intrahepatic ducts and cholangitis without obstruction. EUS was normal. Previous labs were remarkable for an LDH of […]

Case Presentation: A 30 year-old female with a history of B-cell acute lymphoblastic leukemia with central nervous system involvement presented with fever, chills, and tachycardia six days after completion of scheduled intrathecal and systemic chemotherapy. Three weeks prior, an intraventricular catheter for administration of intrathecal chemotherapy had been placed without complications. Following the most recent […]