Case Presentation: A 64-year-old woman with end-stage renal disease (ESRD) on peritoneal dialysis (PD) presented with altered mental status. She reported “seeing monsters when I close my eyes,” “bouncing off the walls like I was drunk,” and slurring her speech at home. Her family added that she was highly functional at baseline, lived independently and [...]

Case Presentation: A 19-year-old, 22-week pregnant woman with no significant past medical history presented with cough, fever, myalgia, abdominal pain and diarrhea for two weeks. On admission, she was febrile to 101.2 F and tachycardic with HR of 110-120 bpm. Physical exam revealed right upper quadrant (RUQ) tenderness upon palpation and one vesicular genital lesion. [...]

Case Presentation: A 57 years old female with insignificant past medical history presented to emergency department for right sided chest and back pain for one week that was associated with skin lesions under right breast and adjoining area on the back consistent with herpes zoster rash. She also reported epigastric pain, nausea and vomiting. She [...]

Case Presentation: 47 year-old male with PMH of hypertension, DM, CAD and ESRD on peritoneal dialysis, presented with altered mental status for 1 day. He had developed a vesicular rash in the right upper extremity and was diagnosed with herpes zoster at another facility 2 days prior, for which he was prescribed valacyclovir that was [...]