Case Presentation: A 37-year-old male with anxiety presented to the ED in Maine after a week of warmth and irritability, followed by sudden onset nausea and vomiting, epigastric and chest pain with left shoulder radiation, and palpitations. He denied COVID exposures, loss of taste or smell, shortness of breath, dysphagia, changes in weight, or skin [...]

Case Presentation: A 42 year old female who was previously healthy presented to hospital for evaluation of rash. The rash had appeared 5 days prior and was pruritic in nature. The rash began on the patient’s chest and face and spread to the rest of her torso and extremities. The rash began as purpuric papules [...]

Case Presentation: The patient is a 72-year-old male with a medical history of gout and hypertension who presented from an outside hospital with diplopia and muscle cramps. Per patient report, he was sitting at home watching TV when he started noticing double vision, followed by a pressure sensation around his left eye. He did not [...]

Case Presentation: This is a 13 year-old premenarchal girl with no significant past medical history who began to experience malaise, headaches, and subjective fevers 5-6 days prior to admission. Subsequently she began to experience vulvar pain. This was followed by vulvar erythema which developed into “black dots” that began to ulcerate. Two days prior to [...]

Case Presentation: A 5-year-old male presented to an outside hospital with one month of headaches, decreased visual acuity (VA) and color vision, and one day of vomiting. Workup included CT brain and venogram with an incidental corpus callosum cyst, ESR of 19 (0-15 mm/hr), and normal blood counts, CRP, and metabolic and hepatic panels. Ophthalmologic [...]

Case Presentation: A 43 year old female with no significant past medical history presented to the emergency department after developing subjective fevers, myalgias, arthralgias, and malaise one week after a hiking trip in northern Minnesota. She had a fever of 39.2℃ and splenomegaly with no rash. Pertinent labs showed a hemoglobin of 12.1 g/dL (11.6-15.0 [...]

Case Presentation: A 52-year-old man presented with 3 weeks of intermittent fevers along with 3 days of epigastric pain and black stool in the setting of recent travel to the Poconos, Pennsylvania and Ecuador. While at his vacation home in the Poconos mountains, the patient spent time clearing away brush and ate cooked wild mushrooms [...]

Case Presentation: A 75 YO woman with HTN presented to her optometrist with a one-week history of painless, blurred vision in her left eye. Her history was notable for a febrile illness without rash 2 months prior. She was advised to go to the ED where MRI and CT imaging showed no acute abnormalities and [...]

Case Presentation: A 77-year-old male with chronic kidney disease and mitral valve prolapse with a history of Lyme disease and West Nile Virus presented with fevers, night sweats, chills, and fatigue for 3 weeks. The patient had been visiting family in Texas for one month but gradually started to notice his symptoms. A few weeks [...]

Case Presentation: 38-year-old healthy female presented with left sided facial droop, dyspnea on exertion and rash. Weeks before, she had myalgias, subjective fevers and fatigue. Days prior to presentation, she developed bilateral lower extremity edema, a mildly pruritic leg rash, and exertional dyspnea. The day of admission, she developed left sided facial droop. Exam revealed [...]