Case Presentation: A 52-year-old homeless man with a history of a remote stroke with residual left sided hemiparesis and dysarthria, and poorly controlled diabetes presented with fever, diarrhea, left sided body pain and altered mental status for two days.The initial vital: tachycardia and temperature of 101.2 F. On exam, he had poor dentition, dysarthria, left-sided [...]

Case Presentation: A 49-year-old male with a history of type 1 diabetes mellitus, end stage renal disease, status post pancreas-kidney transplant maintained on tacrolimus and mycophenolate mofetil, who presented with a three-day history of fever, tension like headache, nausea, and non-bloody emesis. He denied exposures to pets, including cats. Laboratory values were significant for elevated [...]

Case Presentation: A fifteen-year-old previously healthy male presented with one and a half months of intermittent right upper quadrant pain with one month of decreased appetite and weight loss. He was followed by his primary care physician who initiated an outpatient workup approximately two weeks into his disease course. A CT scan of the abdomen [...]

Case Presentation: A 44 year-old woman presented with 10 days of acute onset decreased vision.  She reported “floaters” and bright flashes in her eyes, left worse than right. Her eyes felt “tired,” but not painful and she had no headache. A retinal specialist found bilateral optic nerve and macular edema, worse in her left eye. [...]

Case Presentation: A 22-year-old male with history of diabetes mellitus type I presents with 3 weeks of right inguinal pain with CT scan which showed a enlarged lymph node measuring 3.5 cm x 2.8 cm which was subsequently biopsied and showed necrotizing granulomatous lymphadenitis. He then presented with status epilepticus approximately 1 week after his [...]

Case Presentation: A 62-year-old malnourished, Hispanic man presented with fever and malaise for 1 week associated with headache. Past medical history was significant for rheumatoid arthritis treated with prolonged, unmonitored prednisone, chronic obstructive pulmonary disease, and a history of 18 cats at home. On examination, the patient was alert and oriented, febrile, and cachectic, but [...]

Case Presentation: A 35-year old male with a PMH of homelessness and methamphetamine use presented to the ED in October 2022 for “flu-like symptoms” including chills, headache, congestion, abdominal pain and nausea/vomiting. He tested positive for influenza B and was admitted for symptomatic treatment and disposition planning. In reviewing his chart, it was apparent that [...]

Case Presentation: A 25-year-old male without medical history presented with right sided throat pain, fever and chills for 3 days. He also had a painful swelling behind his left ear for 4 weeks. In the emergency department, examination showed an erythematous and edematous right tonsil with local mass effect on the uvula with left-sided displacement [...]

Case Presentation: A 57-year-old man with IgA vasculitis on maintenance rituximab, cyclophosphamide and prednisone presented with 2 months low-grade fevers, fatigue, 60 pounds weight loss, and bilateral visual abnormalities. Family cared for his 7 cats and new kittens while he presented to our hospital. Ophthalmological exam was notable for bilateral neuroretinitis. MRI of the brain [...]

Case Presentation: A previously healthy, vaccinated 9-year-old female on amoxicillin for recent Group A strep pharyngitis presented to the emergency department with a 10 day history of daily fevers and severe right lower quadrant abdominal pain limiting her ambulation and activity level. She denied any headaches, nausea, vomiting, hip pain, knee pain, or traumatic injuries. [...]