Case Presentation: Vaping-induced organ injuries are increasingly seen in the clinical setting, as the use of vaporizers to smoke tobacco and marijuana has risen almost 150% in the past several years [1]. Cardiotoxicity from vaporizer use has not been reported, and thus the incidence of this phenomenon is unknown. Regular assessment of cardiac function may [...]

Case Presentation: A 22-year-old Hispanic male with PMHx of vaping (since age 11) presented with acute chest pain and dyspnea. He used vaper device with flavored nicotine juice 6 mg/mL (0.6% Nicotine) and contains glycerin and propylene glycol. He vaped heavily (multiple cartridges daily) in the week leading up to admission. The day before, he [...]

Case Presentation: A 27-year-old male brought to the emergency department after being found unresponsive on the floor. The patient had no recollection of subsequent events until awakening in the ambulance. Notably, he had two prior hospitalizations for episodes of amnesia, “being off” and visual hallucinations. The patient was found to be hypoglycemic by the paramedics [...]

Case Presentation: A 34-year-old female with a history of alcohol use disorder presented with severe withdrawal symptoms approximately one hour after receiving her first dose of naltrexone, which was prescribed for the management of alcohol cravings. The symptoms included excessive yawning, anxiety, irritability, tachycardia, generalized muscle cramps, and discomfort. Laboratory investigations revealed a blood alcohol [...]

Case Presentation: Darier disease (keratosis follicularis) is a rare autosomal dominant genodermatosis due to ATP2A2 gene mutation. Presentation includes a characteristic eruption in seborrheic regions exacerbated by sun exposure, heat, and secondary infection. The disease runs a remittent course beginning in puberty. Darier disease is associated with neuropsychiatric disorders including intellectual disability, seizures, mood disorders [...]

Case Presentation: A 32-year-old male with a history of alcohol use disorder presented with dull epigastric pain, fever, and chills. Physical examination revealed moderate epigastric tenderness. Laboratory findings included WBCs 14.6×10⁹/L, Hb 12.5 g/dL, INR 1.4, with normal liver enzymes. MRI of the abdomen demonstrated a 6.7×6.6 cm lesion in the right hepatic lobe with [...]

Case Presentation: A 27-year-old male immigrant male from Guatemala presented with complaint of right-sided scrotal pain, swelling, and fever of 1 month. No reports of weight loss. Physical exam revealed right scrotal swelling, induration with the tenderness of the right testis and epididymis. Lab workup showed normal CBC, CMP. Urine culture, blood culture, chlamydia, and [...]

Case Presentation: A 32-year-old female with mast cell activation syndrome, asthma, Ehlers Danlos Syndrome, fibromyalgia, steroid-induced osteopenia and insulin-dependent diabetes presented to an outside hospital with acute on chronic thoracic back pain. There, she underwent kyphoplasty of T4-T7 for thoracic compression fractures and was discharged after a seemingly uncomplicated initial course. She returned 2 weeks [...]

Case Presentation: Tetanus, a life threatening neurological disorder involving muscle spasms caused by Clostridium tetani, is now a rare disease, with an annual incidence of 0.10 cases/million population. We present a case of fulminant tetanus requiring ventilatory support in an unimmunized patient.A 20-year-old unvaccinated female with active intravenous drug use presented with difficulty swallowing, inability [...]

Case Presentation: A 72 year old male with a history of end stage renal disease and chronic positive hepatitis B core antibody since 2020 presented with worsening abdominal pain while undergoing hemodialysis. He was not on any immunosuppressive medications at home. On admission, his vitals were normal. Physical exam revealed scleral icterus and right upper [...]