Case Presentation: A 71 years old white male, with a past medical history of severe eosinophilic asthma, was transferred to our hospital with hypoxemic respiratory failure and worsening infiltrates. Respiratory PCR was negative. The patient was febrile with T-max of 101 F, required 6 L of oxygen. Labs showed WBC 21,000, Hemoglobin was7.4, and Creatinine [...]

Case Presentation: A 54-year-old woman presented with nausea, generalized weakness, fatigue, and progressive dyspnea following treatment for sinusitis. CBC revealed a leukocyte count of 135 K/µL with anemia and thrombocytopenia. She received 3 rounds of leukapheresis for hyperviscosity and started hydroxyurea 500 mg q6h. Repeat CBC showed a leukocyte count of 39.8 K/µL (80% blasts), [...]

Case Presentation: A 48-year-old female presented with a 1-day history of exertional, non-positional, mid-sternal, severe chest pain associated with nausea, palpitations and dyspnea. She denied orthopnea, ankle swelling, cough, wheeze, coryza, fever, chills, or recent ill contacts. Past medical history: asthma, vertebral artery dissection, hypothyroidism, migraines, and severe acute respiratory syndrome coronavirus 2 (COVID-19) infection [...]

Case Presentation: A 40-year-old female with morbid obesity, methamphetamine dependence, and tobacco use disorder presented with the one-day onset of diffuse and severe abdominal pain. A review of the systems was positive for nausea, vomiting, inability to tolerate food by mouth, constipation, and diaphoresis but she denied fever, diarrhea, or other related symptoms. Patient-reported using [...]

Case Presentation: Diabetic myonecrosis is a rare and under-recognized disorder observed in poorly controlled long-standing diabetes mellitus (1). Typical presentation includes acute pain and swelling of the affected muscle group in the absence of local injury due to spontaneous ischemic necrosis of the skeletal muscles. We present a case of a 48-year old female with [...]

Case Presentation: A 33-year-old female was initially admitted to the ICU for septic shock secondary to complicated Pseudomonas aeruginosa urinary tract infection and methicillin-sensitive Staphylococcus aureus bacteremia. CT of the abdomen showed fluid in the left paracolic gutter. Aspiration and culture of the fluid was positive for Staph aureus and attributed to seeding from bacteremia. [...]

Case Presentation: A 52-year-old Hispanic man with a medical history of hypertension, T2D with neuropathy, and hyperlipidemia without previous exposure to glucocorticoid presented to the emergency department (ED) with mild fever, headache, and shortness lasting three days. His diabetes had been well controlled with glipizide, metformin, and liraglutide, and his recent glycated hemoglobin was 7.2% [...]

Case Presentation: Our patient is 78-year-old female with a history of mitral regurgitation, left ventricular outflow tract obstruction (LVOT) with systolic anterior motion (SAM) of mitral valve, migraines, and hypertension presented with lightheadedness. She had increased blood pressure at her recent office visit few weeks back necessitating an increase in dosage of verapamil. At presentation, [...]

Case Presentation: Our patient is a 15-year-old female, previously healthy, who presented with right facial swelling. She developed swelling of her right upper lip after rupturing a pimple located on her lip. Over the next two days, erythema developed, and the swelling progressed to include her right eye, cheek, both lips, and around her jaw [...]