Background: The indications for lumbar puncture (LP) among febrile infants 29-60 days old continue to evolve. We studied febrile infants age 29-60 days with an ED visit and compared the characteristics and outcomes of those with and without an LP. We also describe the clinical course of infants receiving antibiotics before or after the LP. [...]

Case Presentation: This is a 50-year-old woman with a history of Rheumatoid Arthritis on Rituxan and methylprednisolone, COVID-19, MGUS, and recent admissions for bacterial pneumonia and fever of unknown origin who presented with fevers, rigors, and dizziness. Of note, she had tested positive for COVID-19 on 4/2020 via a nasopharyngeal swab, and states fevers began [...]

Case Presentation: A 51-year-old Hispanic male with Type 2 diabetes mellitus and dyslipidemia was admitted from the ED for evaluation of recurrent fevers, multiple joint pains, and tachycardia. Physical exam findings included cachectic appearance and right inguinal lymphadenopathy. Initial laboratory testing was significant for a WBC of 23,300 (80.2% neutrophils, 13.3% lymphocytes), Hb of 11.1, [...]

Case Presentation: 41-year-old African American female with a history of Systemic lupus erythematosus (SLE) with antiphospholipid syndrome and cocaine abuse presents with acute onset of atypical chest pain, upper respiratory tract infection symptoms, myalgia, and arthralgia with an unremarkable physical examination. The labs were significant for urine drug screen positive for cocaine, elevated troponin, and [...]

Case Presentation: A 81 year-old Caucasian male presented to the emergency department with fever and altered mental status for two days. Further chart review revealed history of nausea, vomiting, myalgias, abdominal pain, and unintentional 35 pound weight loss over the six months prior. At the time of admission the patient was lethargic, febrile and tachycardic. [...]

Case Presentation: A 29-year-old woman presents with fever and malaise after recently traveling abroad. Her history is notable for right ovarian cystectomy the prior year for a dermoid cyst with the postoperative course complicated by septic shock, respiratory failure requiring intubation, tracheostomy, and renal failure requiring temporary dialysis. She was eventually decannulated and her renal [...]

Case Presentation: A 59-year-old gentleman with newly diagnosed cirrhosis presented to the emergency room after 5 episodes of frank hematemesis. He had a recent screening esophagogastroduodenoscopy notable for portal hypertensive gastropathy without varices. On admission, he was hemodynamically stable with hemoglobin near his baseline. He was started on a pantoprazole infusion and IV ceftriaxone. Hours [...]

Case Presentation: A 43-year-old woman with a history of SLE underwent a renal biopsy for proteinuria without immediate complications. Four days post-procedure, she reported fever and myalgia. She was also found to have a drop in hemoglobin from 11.1 to 9.8 g/dL. A CT abdomen showed a left renal subscapular and retroperitoneal hematoma without active [...]

Case Presentation: A 74-year-old man with history of diffuse B cell lymphoma presented with 2 day history of fever, urinary frequency and dysuria, associated with poor oral intake, weakness and lightheadedness. He had completed the 6th and final cycle of chemotherapy with Rituximab, Cyclophosphamide, Doxorubicin, Vincristine and Prednisone, about 8 days prior to presentation. Vital [...]

Case Presentation: 52-year-old Caucasian male with no past medical history significant for history of hypertension and hyperlipidemia who presented to the hospital secondary to fever of 103 degrees and chills for 3 days. Patient reports that fever was sudden in onset and has been intermittent which breaks with sweating. His review of systems were positive [...]