Case Presentation: A 17 year-old male teenager presented with two weeks of bilateral lower extremity edema, erythema, and warmth associated with fevers and joint pain at the foot and ankle. After a presumed bug bite on his left foot he developed a rash that spread from left to right leg. Symptoms did not improve with [...]

Case Presentation: A 75-year-old man with a history of glaucoma and diabetes presented to the hospital for evaluation of bilateral painful conjunctivitis, vision loss, abdominal pain and diarrhea with associated 20-pound weight loss over the previous 3-4 months. Testing for Lyme disease, syphilis, Bartonella, Varicella, HIV, and TB were all negative. Rheumatologic workup showed positive [...]

Case Presentation: A 46-year-old female with a past medical history of hypertension, diabetes mellitus, and asthma who initially presented 2 weeks prior to the emergency department for right-sided facial paralysis and was diagnosed with idiopathic facial paralysis (Bell’s palsy). Despite being started on prednisone and valaciclovir, 2 weeks later she had suddenly developed left-sided facial [...]

Case Presentation: A 64-year-old woman with a past medical history of hypertension presented with a sudden onset of slurred speech, right gaze preference, and left-sided body weakness while at a hair salon. In the Emergency Department, she was afebrile, blood pressure 110/70 mmHg, and heart rate 105 beats per minute. CT head without contrast revealed [...]

Case Presentation: A 51-year-old male with a past medical history of alpha-1 antitrypsin deficiency with severe emphysema status post bilateral lung transplantation presented to the pulmonary transplant clinic for follow up. On evaluation, he was found to have declining FEV1 and FVC levels. A chest x-ray was performed to evaluate underlying abnormalities and revealed bilateral [...]

Case Presentation: Twenty three year old female presented with complaints of severe headache and dizziness since past 2 weeks. Her past medical history was significant for SLE, heart failure with reduced ejection fraction and lupus pericarditis. CT head showed possible left cerebellar stroke of indeterminate age and hence was admitted for the stroke workup. Few [...]

Case Presentation: A 45-year-old woman with a Glasgow Coma Scale score of 7 was admitted to our hospital because of impaired consciousness. On the day of admission, she appeared well and was performing her routine work until approximately 6 pm. At 9 pm, her husband found her lying unresponsive on the bed, and she was [...]

Case Presentation: A 57-year-old Hispanic male presented with an episode of syncope while at his workplace. He is a Pest Control Technician and had a 7-year history of exposure to organophosphates. He had a history of frequent falls over past six months and had no exposure to other toxic substances, alcohol or drugs. Physical exam [...]

Case Presentation: A 63 year-old man with diabetes mellitus, hypertension, and GERD presented from an outside hospital with bilateral upper extremity paralysis, paresthesias, and neck pain which started minutes after sneezing. Vital signs were stable and neurologic examination was remarkable for bilateral upper extremity strength of 0/5 with absent reflexes and reduced sensation to pinprick. [...]

Case Presentation: Systemic Lupus Erythematosus (SLE) is known for its diverse clinical presentations. We present the case of a 41-year-old African American male prisoner with an initial presentation featuring bilateral submandibular, sublingual, and parotid swelling with concurrent facial angioedema and fever. The patient was presumed to have Ludwig’s Angina, yet initial treatment with broad spectrum [...]