Case Presentation: A 72-year-old man with a history of Crohn’s disease and hypertension presented to the emergency department with one month of worsening fatigue, anorexia with weight loss and headaches. The patient also noted intermittent high-grade fever up to 105 degrees Fahrenheit of one week’s duration.One month before presentation, the patient had returned to NYC [...]

Case Presentation: 74-year-old female with history of heart failure, hypertension, diabetes, CKD Stage 3, obstructive sleep apnea, and COPD (2L O2 baseline) presented with weakness and shortness of breath for the last few days. She also endorsed having weight gain, despite a decrease in appetite. Apart from this, she reported a recent tick bite. On [...]

Case Presentation: A 44 year old man with a history of alcohol abuse presented with one week of right upper quadrant (RUQ) pain, nausea, jaundice, fevers, lethargy and anorexia in the summer time after two weeks of binge drinking. Physical examination was notable for tachycardia, scleral icterus and RUQ tenderness. Pertinent labs included elevated AST:ALT [...]

Case Presentation: A 67-year-old female presented with three days of fever, chills, and generalized weakness. She also had myalgia, epigastric pain, darker urine. She reported no recent travel but reported spending time outside gardening and walking/hiking in the woods with dogs, although she did not recallany tick bites. She had a fever of 104 °F, [...]