Case Presentation: A 69-year-old female with no significant past medical history presented with three weeks of intermittent fevers followed by 24-hours of persistent fever associated with nausea, fatigue, and malaise. She lived in the metro-Boston area and worked part-time as a dog-walker. She reported a tick bite several weeks ago. Vital signs were notable for [...]

Case Presentation: Anaplasmosis phagocytophilum is a rare, emerging tick borne illness transmitted by the Ixodes Scapularis tick endemic to the North Central and Northeastern United States. With an incidence of 6.1 cases per million in 2010, patients often present with nonspecific symptoms such as fever, leukopenia, thrombocytopenia, and transamintis. Cases outside of endemic areas are [...]

Case Presentation: This is a 38 year old male with a past medical history of hypertension, hyperlipidemia, bipolar disorder and alcohol abuse who was brought to the emergency room after he collapsed on the subway in May 2018. Several days prior to this episode, he reported cyclical fevers to a maximum of 102F, myalgias and [...]

Case Presentation: A 72 year old woman with osteoarthritis presented to with a 3-day history of fever and chills. A few days prior to presentation, she had received a glucocorticoid injection for left knee pain. Upon assessment of her initial vitals, heart rate was 122 bpm, blood pressure was 147/77 mmHg, respiratory rate was 22, [...]

Case Presentation: A 73-year-old man who had been under quarantine for a week prior to presumed COVID-19 presented to the emergency department (ED) with worsening malaise, fever, and loss of appetite. Two weeks prior, the patient presented to his primary care provider (PCP) with fevers, dry cough, exertional dyspnea, sweats, malaise, anorexia, anosmia, and dysgeusia. [...]

Case Presentation: A 72-year-old male with a past medical history of osteoarthritis presented to the emergency department with complaints of fever and chills for 3 days. She received glucocorticoid injection for left knee pain a few days prior to presentation. Her initial vitals were a heart rate of 122 bpm, blood pressure was 147/77 mmHg, [...]

Case Presentation: An 81-year-old male presented in July with two months of recurrent fevers. He was initially hospitalized in early May for LLQ pain, diarrhea, and imaging findings consistent with diverticulitis and a small pericolonic abscess. He was discharged on ciprofloxacin and metronidazole with outpatient colorectal surgery follow-up. He required subsequent admissions in late May [...]

Case Presentation: A 48 year old woman with a history of stroke, idiopathic intracranial HTN, type 2 DM, HTN, and obesity, presented a few hours after developing increasing confusion and lethargy. For 2 weeks, she also reports headache, neck pain, poor appetite, nausea, rare vomiting, and occasional diarrhea. Exposure history notable for owning a dog, [...]

Case Presentation: An 87-year-old man with a history of chronic inflammatory demyelinating polyneuropathy (CIDP) on prednisone (7.5 mg daily), coronary artery disease post-CABG with pacemaker, Parkinson’s disease, COPD, and partial vocal cord paralysis presented with progressive weakness and pancytopenia. Over three weeks, he developed worsening asymmetric weakness, slurred speech, dysphagia, and high-grade fevers unresponsive to [...]