Case Presentation: A 29 year old male with HIV/AIDS only intermittently taking antiretroviral therapy (ART), Pneumocystis jirovecii (PJP) pneumonia actively being treated with trimethoprim-sulfamethoxazole (TMP-SMX) and prednisone, and cutaneous Kaposi sarcoma all diagnosed one month ago at an outside clinic presented to the hospital with worsening cough and shortness of breath. Initial vitals were notable [...]

Case Presentation: A 21-year-old Hispanic male with recently diagnosed Acquired Immunodeficiency Syndrome (AIDS) was admitted to the hospital for evaluation of persistent periorbital edema, lower extremity edema, and worsening rash. He was diagnosed with AIDS about three months prior and had been on combination dolutegravir/lamivudine since diagnosis. His most recent CD4 count two weeks ago [...]

Case Presentation: Mr. L, a 37-year-old Native American man with alcohol abuse disorder presented to the emergency room with sub-acute development over two days of ataxia, bilateral lower extremity paralysis and loss of sensation below the nipple line. Five days prior, the patient began to feel lethargic and confused. His symptoms progressed to include significant [...]

Case Presentation: A 15 year-old female with developmental delay presents with intermittent abdominal pain, decreased appetite, and vaginal discharge. Parents disclose a 30 lbs weight loss over 2 years, along with vaginal discharge that was evaluated by self-swab testing and deemed a “normal variant” from menses. When she presented to her PCP’s office, she was [...]

Background: Acute Kidney Injury (AKI) is a common hospital problem which may lead to increased mortality, hospital costs, and increased length of stay (1). A leading cause of renal dysfunction in the inpatient population is drug nephrotoxicity. Several studies show that physician prescribers often do not take renal function into account with new or existing [...]

Case Presentation: The diagnosis of a sexually active young male who presents with fevers, night sweats, weight loss with opportunistic infections and then found to have an acquired immunodeficiency is going to be HIV except when it isn’t. We present a patient with a presumptive diagnosis of HIV but a negative comprehensive HIV laboratory testing [...]

Case Presentation: A 49 year old man with AIDS on anti-retroviral therapy (CD4 count 113) presented to the hospital with dizziness, abdominal pain, and generalized fatigue and malaise. He developed fever as high as 39.9 degree Celsius shortly after admission along with anemia and thrombocytopenia. The patient underwent complete infectious workup including viral and atypical [...]

Case Presentation: A 29 year-old Hispanic male with past medical history of AIDS and multiple-associated co-infections including CNS toxoplasmosis, CMV retinitis, genital HSV, PCP, noncompliance and multiple substance abuse, presented to the ED with 10 days of watery non-bloody diarrhea, abdominal pain, fever, chills, anorexia and dry cough. Patient was admitted for similar symptoms nine [...]

Case Presentation: A 27-year-old male with a past medical history of HIV, poorly adherent to antiretroviral therapy (ART), presented with a 1-month history of worsening lower back pain. Pain was described as 10/10 in intensity, radiated to upper back, unrelieved by Ibuprofen, aggravated by lying flat and associated with a frontal headache. He denied fever, [...]

Case Presentation: A 59-year-old male with a history of HIV, HBV, and amphetamine use disorder presented with a three-day history of fever, diffuse abdominal pain, and rectal pain with passage of thick, clear-yellow fluid. The patient engaged in receptive anal intercourse and had a history of injecting methamphetamine per rectum. Patient was septic on admission [...]