Case Presentation: A 54-year-old male with no past medical history presented with chief complaint of generalized weakness, fatigue, headache, loss of appetite and intermittent fever and chills for 5 days. On arrival to the ED, his vitals were notable for temperature was 102.3F.. Labs notable for a hemoglobin 12.5 g/dL, platelets 55×109/L, sodium 128 mmol/L, [...]

Case Presentation: A 44-year-old female with a history of SLE and chronic diarrhea presented with a one-day history of fever and lethargy. On admission, she was septic with a pancytopenia and a neutropenia with an ANC of 1.6. CT of chest, abdomen and pelvis showed non-specific enteritis, concordant with the chronic diarrhea history, but no [...]

Case Presentation: A 44 year old man with a history of alcohol abuse presented with one week of right upper quadrant (RUQ) pain, nausea, jaundice, fevers, lethargy and anorexia in the summer time after two weeks of binge drinking. Physical examination was notable for tachycardia, scleral icterus and RUQ tenderness. Pertinent labs included elevated AST:ALT [...]

Case Presentation: A 65 year old female with a history of type one diabetes presented to an outside hospital with malaise, fatigue, and fever for two weeks. Her social history was notable for frequently participating in the interactive game of Geocaching in the outdoors of southeastern PA. On arrival she had severe sepsis with a [...]

Case Presentation: A man in his late 70s presented to the emergency department after multiple falls and new onset altered mental status. Past medical history included hypertension, hyperlipidemia, chronic kidney disease (CKD) stage III, and previous infection with anaplasmosis over a decade prior.On clinical exam, the patient was afebrile, hypoxic, and meeting SIRS criteria with [...]

Case Presentation: A 52-year-old man presented with 3 weeks of intermittent fevers along with 3 days of epigastric pain and black stool in the setting of recent travel to the Poconos, Pennsylvania and Ecuador. While at his vacation home in the Poconos mountains, the patient spent time clearing away brush and ate cooked wild mushrooms [...]

Background: The incidence of tickborne disease has recently increased in the United States, as longer summers and milder winters have led to a surge in tick populations (1). The impact has been most marked in New England, where temperatures are rising faster than the global average, particularly in winter (2). Babesiosis is a tickborne illness [...]

Case Presentation: A 60-year old male gardener presented with generalized body aches, night sweats, chills, malaise, fevers and headache (frontal and occipital) intermittently for a month. He reported abdominal pain, dyspnea, joint stiffness and myalgia. Around 2 weeks prior, the pain intensified and he received a treatment for upper respiratory infection with azithromycin. He finally [...]