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 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 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 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. [...]