Case Presentation: A healthy 44-year-old woman with latent TB on isoniazid (INH) for 6 months was sent to the hospital by her primary care physician for elevated liver tests and right sided abdominal pain, anorexia, and jaundice for two weeks. She had normal liver tests prior to starting INH. She denied illicit drugs, alcohol or [...]

Case Presentation: A 55-year-old previously incarcerated male with a history of tuberculosis and a 27-year-old incarcerated male both with a history of cough and hemoptysis, and a 56-year-old female with pulmonary nodules, right ankle pain, and swelling, all presented to the ED at a tertiary center in Wisconsin. All three patients shared a constellation of [...]

Case Presentation: An 80 year old woman with a history of disseminated tuberculosis (positive TB cultures in knee wound and pulmonary cavitary lesion in 2021) presented to the emergency room for edema and erythema of her right third DIP joint. Over the past 3 weeks, she had waxing and waning orientation, reduced energy, and reduced [...]

Case Presentation: A 38 year old man presented to the ED noting 12 days of yellowing of his eyes and 3 days of abdominal pain and swelling. He endorsed subjective fevers and noted drinking 8 beers daily. He immigrated from Mexico 12 years ago. Exam showed tachycardia, tachypnea, scleral icterus, and distended abdomen with fluid [...]

Case Presentation: A 65-year-old Vietnamese man presented to the Emergency Department after a scleral defect was noted in his right eye by optometry. He reported four months of floaters and one month of worsening vision and light sensitivity in the right eye. No recent trauma.Ophthalmology exam showed visual acuity of 20/25 in the right eye [...]

Case Presentation: FM was a 69-year-old female who immigrated from Mexico to the US 30 years ago with a history of primary biliary cholangitis complicated by cirrhosis, hepatic encephalopathy, and esophageal varices presented to the emergency department with worsening abdominal distension. She was a former smoker with no history of alcohol or recreational drug use. [...]

Case Presentation: Introduction:Tuberculosis (TB) remains a global health issue, with extrapulmonary TB often mimicking other conditions.¹ Diagnosing tuberculous peritonitis is particularly challenging in resource-limited settings, where nonspecific symptoms and limited diagnostics create barriers. This case highlights the complexities of diagnosing tuberculous peritonitis in a chronic alcoholic patient, initially suspected of decompensated liver disease (DCLD) despite [...]

Case Presentation: A 38 year-old female with Crohn’s disease on infliximab presented to the ED with 3 weeks of fever, cough, and shortness of breath (SOB) unresponsive to a 10-day course of levofloxacin for presumed community acquired pneumonia (CAP). She emigrated from Ecuador in 2001 and was employed as a medical assistant in a private [...]

Case Presentation: A 71-year-old male from Vietnam with HTN and TIIDM presented to an outside hospital with several weeks of fatigue, lower extremity bruising, and an unintentional weight loss of 20lbs. On admission to Stanford, he also endorsed right lower extremity numbness and weakness with right foot dorsiflexion. His exam was notable for scattered ecchymosis [...]

Case Presentation: A 69-year-old male with a significant past medical history of rheumatoid arthritis on methotrexate presented with acute-on-chronic lumbar pain. Initial imaging revealed an L3 compression fracture, with findings suggestive of discitis or osteomyelitis at L2-L3. MRI confirmed discitis/osteomyelitis, along with an epidural abscess and bilateral psoas abscesses. Further imaging also revealed cavitary pulmonary [...]